A new method of creating an A-V vascular shunt in the arm using an endoscopic techinique.

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  • 内視鏡下上腕部静脈表在化内シャントの1例

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Abstract

We describe a new technique by which the vessel is superficialized by endoscopic surgery to create vascular access in the arm.<br>First, a working tunnel is created just above the vessel in the arm. The length of the tunnel is about 25cm from a transverse incision in the antecubital region. After harvesting the vessel in the tunnel, it was pulled through the working tunnel. Then, a new route is created subcutaneously and the vessel is anastomosed to an artery in an end-to-side fashion in the antecubital region.<br>A study involving a larger number of patients and a longer follow-up are needed to evaluate the long-term results; still our new technique seems to be superior to conventional methods, because it is less-invasive, provides superior cosmetic results, and it is easy to puncture the access vessel even in the early postoperative periods.

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