Joseph Abbott, M.D.; John Bussell, B.S.; Robert Lim, M.D.
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Establishment of a subcutaneous arteriovenous fistula between the radial artery and cephalic vein allows for chronic percutaneous hemodialysis. Although vascular insufficiency is a hazard, use of the internal fistula is becoming more popular than the external Scribner shunt because of a low prevalence of infection and occlusion. In seven hemodialysis patients with a side-to-side radial-cephalic arteriovenous fistula, digital and forearm blood flow was measured by pneumatic plethysmography. Forearm blood flow was always increased in the fistula extremity (increase in mean difference, 22 ml/min/100 ml tissue; P < 0.01), but finger blood flow was always decreased in the fistula extremity thumb
Abbott J, Bussell J, Lim R. Peripheral Circulatory Abnormalities Due to an Arteriovenous Fistula Used for Hemodialysis.. Ann Intern Med. 1971;74:830. doi: 10.7326/0003-4819-74-5-830_1
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© 2019
Published: Ann Intern Med. 1971;74(5):830.
DOI: 10.7326/0003-4819-74-5-830_1