Primary Article

Upper Extremity Arteriovenous Fistulas for Hemodialysis and Administration of Chemotherapeutic Agents

Authors: RAUL GARCIA-RINALDI PhD, MD, RODDIE L. REED MD, Z. D. GREEN RN, KENNETH L. MATTOX MD

Abstract

The arteriovenous fistula (AVF) is the choice mode of access to the circulation in patients having chronic hemodialysis. AVFs are also used in patients having repeated courses of intravenous chemotherapy. This relatively simple operation can result in considerable morbidity if improperly done. The technics used in our center, which result in a high potency rate, are described. Maneuvers designed to reduce the resistance to flow and increase the minute flow through the fistulas are stressed.

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