A new method of creating an A-V vascular shunt in the arm using an endoscopic techinique.
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- Hayakawa Kunihiro
- Department of Urology, Ichikawa General Hospital, Tokyo Dental College
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- Ashimine Satoshi
- Department of Urology, Ichikawa General Hospital, Tokyo Dental College
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- Aoyagi Teiichiro
- Department of Urology, Ichikawa General Hospital, Tokyo Dental College
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- Miyaji Keisuke
- Department of Urology, Ichikawa General Hospital, Tokyo Dental College
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- Hata Makoto
- Department of Urology, Ichikawa General Hospital, Tokyo Dental College
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- Tanaka Shigemitsu
- Motoyawata Kidney Clinic
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- Tanaka Araki
- Motoyawata Kidney Clinic
Bibliographic Information
- Other Title
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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.
Journal
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- Nihon Toseki Igakkai Zasshi
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Nihon Toseki Igakkai Zasshi 35 (2), 125-128, 2002
The Japanese Society for Dialysis Therapy
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Details 詳細情報について
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- CRID
- 1390001204675875200
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- NII Article ID
- 130003721665
- 10008362251
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- NII Book ID
- AN10432053
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- ISSN
- 1883082X
- 13403451
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed