Original communication| Volume 75, ISSUE 2, P238-242, February 1974

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“Smooth loop” arteriovenous fistulas for hemodialysis

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      A new type of arteriovenous fistula for chronic hemodialysis is described in this paper. This consists of the formation of a smooth arterial or venous loop runoff designed to ensure streamlined flow. Forty-six “smooth loop” fistulas have been created in 42 patients. There has been a primary failure rate of 4.3 percent and an over-all failure rate of 8.6 percent. These figures compare favorably with other reported series. All working fistulas have been used within one week of construction and the flow rates obtained have been uniformly high. The construction of the “smooth loop” fistula is simple and few local problems have been encountered.
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        • Brescia J.J.
        • Cimino J.E.
        • Appel K.
        • Hurwich B.J.
        Chronic hemodialysis using venipuncture and surgically created arteriovenous fistula.
        N. Engl. J. Med. 1966; 275: 1089
        • Buselmeier T.J.
        • Simmons R.L.
        • Rattazzi L.C.
        • et al.
        A-V fistulas and the diabetic: Ischemia and gangrene may result in amputation.
        Trans. Am. Soc. Artif. Intern. Organs. 1973; 19: 49
        • Bussell J.A.
        • Abbott J.A.
        • Lim R.C.
        A radial steal syndrome with arteriovenous fistula for hemodialysis.
        Arch. Intern. Med. 1971; 75: 387
        • Ehrenfeld W.K.
        • Grauz H.
        • Wylie E.J.
        Subcutaneous arteriovenous fistulas for hemodialysis.
        Am. J. Surg. 1972; 124: 200
        • Fallon J.
        • Stebhens W.E.
        Venous endothelium in experimental arteriovenous fistulas in rabbits.
        Circ. Res. 1972; 31: 546
        • Giradet R.E.
        • Hackett R.E.
        • Goodwin N.J.
        • Friedman E.A.
        Thirteen months' experience with the saphenous vein graft arteriovenous fistula for maintenance hemodialysis.
        Trans., Am. Soc. Artif. Intern. Organs. 1970; 16: 285
        • Goldberg E.M.
        • Hill W.
        • Kanter A.
        • Ooi B.S.
        A new vascular prosthesis for chronic hemodialysis.
        Trans. Am. Soc. Artif. Intern. Organs. 1972; 18: 441
      1. Karmody, A. M., and Lempert, N.: A new high visibility vascular suture. Submitted for publication.

        • Kurivila K.C.
        • Beven E.G.
        Arteriovenous shunts and fistulas for hemodialysis.
        Surg. Clin. North Am. 1971; 51: 1219
        • Lawton R.L.
        • Sharzer L.S.
        Vascular access for patients on maintenance dialysis.
        Surg. Gynecol. Obstet. 1972; 135: 279
        • Lytton B.
        • Goffinet J.A.
        • May C.J.
        • Weiss R.M.
        Experience with arteriovenous fistula in chronic hemodialysis.
        J. Urol. 1970; 104: 512
        • May J.
        • Tiller D.
        • Johnson J.
        Saphenous vein arteriovenous fistula in regular dialysis treatment.
        N. Engl. J. Med. 1969; 280: 770
        • Quinton W.E.
        • Dillard D.H.
        • Scribner B.H.
        Circulation of blood vessels for prolonged dialysis.
        Trans. Am. Soc. Artif. Intern. Organs. 1960; 6: 104
        • Stebhens W.E.
        Blood vessel changes in chronic experimental arteriovenous fistulas.
        Surg. Gynecol. Obstet. v. 1968; 127: 327
        • Tellis V.A.
        • Veith F.J.
        • Soberman R.J.
        Internal arteriovenous fistula for hemodialysis.
        Surg. Gynecol. Obstet. 1971; 132: 866