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Original communication| Volume 81, ISSUE 4, P459-461, April 1977

Blood flow measurements in arteriovenous dialysis fistulas

  • Charles B. Anderson
    Correspondence
    Reprint requests: Charles B. Anderson, M.D., Department of Surgery, Barnes Hospital, 4960 Audubon Ave., St. Louis, Mo. 63110.
    Affiliations
    From the Departments of Surgery and Medicine, Washington University School of Medicine, St. Louis, Mo., USA

    From the Department of Surgery, St. Louis University School of Medicine, St. Louis, Mo., USA

    From the John Cochran Veterans Administration Hospital, St. Louis, Mo., USA
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  • Edward E. Etheredge
    Affiliations
    From the Departments of Surgery and Medicine, Washington University School of Medicine, St. Louis, Mo., USA

    From the Department of Surgery, St. Louis University School of Medicine, St. Louis, Mo., USA

    From the John Cochran Veterans Administration Hospital, St. Louis, Mo., USA
    Search for articles by this author
  • Hershel R. Harter
    Affiliations
    From the Departments of Surgery and Medicine, Washington University School of Medicine, St. Louis, Mo., USA

    From the Department of Surgery, St. Louis University School of Medicine, St. Louis, Mo., USA

    From the John Cochran Veterans Administration Hospital, St. Louis, Mo., USA
    Search for articles by this author
  • John E. Codd
    Affiliations
    From the Departments of Surgery and Medicine, Washington University School of Medicine, St. Louis, Mo., USA

    From the Department of Surgery, St. Louis University School of Medicine, St. Louis, Mo., USA

    From the John Cochran Veterans Administration Hospital, St. Louis, Mo., USA
    Search for articles by this author
  • Ralph J. Graff
    Affiliations
    From the Departments of Surgery and Medicine, Washington University School of Medicine, St. Louis, Mo., USA

    From the Department of Surgery, St. Louis University School of Medicine, St. Louis, Mo., USA

    From the John Cochran Veterans Administration Hospital, St. Louis, Mo., USA
    Search for articles by this author
  • William T. Newton
    Affiliations
    From the Departments of Surgery and Medicine, Washington University School of Medicine, St. Louis, Mo., USA

    From the Department of Surgery, St. Louis University School of Medicine, St. Louis, Mo., USA

    From the John Cochran Veterans Administration Hospital, St. Louis, Mo., USA
    Search for articles by this author
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      Abstract

      Blood flows were measured in 75 arteriovenous dialysis fistulas (AVF) at the time of fistula construction. End cephalic vein to side of radial artery AVF had a mean flow of 242 ± 89 ml. per minute which was similar to bovine heterograft AVF that also originated from the radial artery (291 ± 67 ml. per minute). AVF originating from the brachial artery had flow rates twice those originating from the radial artery (599 ± 163 vs. 251 ± 89 ml. per minute, respectively). Flow rates were similar for straight arm (641 ± 111 ml. per minute), curved forearm (561 ± 187 ml. per minute), and curved thigh (592 ± 134 ml. per minute) bovine AVF. Initial blood flow through arteriovenous dialysis fistulas is too low to cause heart failure, except in patients with previously compromised cardiac function. In such patients AVF from the radial artery theoretically would be preferred over brachial or femoral artery AVF.
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