6533b838fe1ef96bd12a3eaf
RESEARCH PRODUCT
Is It Possible to Create a “Mechanical” Arteriovenous Fistula in Hemodialysis Patients?
Attilio Ignazio Lo MonteGiuseppe Buscemisubject
Malemedicine.medical_specialtymedicine.medical_treatmentFistulaBiomedical EngineeringMedicine (miscellaneous)Arteriovenous fistulaBioengineeringAnastomosisBiomaterialsArteriovenous Shunt SurgicalRenal DialysisHumansMedicineDialysisAgedBrachiocephalic VeinsUremiaArteriovenous fistulaDialysisSutureless mechanical anastomosisUremiabusiness.industrySuture TechniquesEquipment DesignGeneral Medicinemedicine.diseaseUremiaSurgerySettore MED/18 - Chirurgia Generalemedicine.anatomical_structureBypass surgeryRadial ArteryHemodialysisbusinessArterydescription
Manual suturing still remains the best technique for the creation of vascular anastomoses on uremic patients with excellent results, despite being time consuming, difficult to perform with small vessels, and associated with a significant learning curve. We created a full mechanical arteriovenous fistula on a 65-year-old uremic patient with a new device already used in cardiac bypass surgery. The fistula was created automatically and rapidly, without the need for temporary occlusion of the artery, reducing the risk of blood clotting. We believe that mechanical devices may be useful to produce precise and fast anastomoses requiring minimal training for the surgeon.
year | journal | country | edition | language |
---|---|---|---|---|
2010-05-08 | Artificial Organs |