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General Principles of Access Surgery

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Manual of Vascular Access, Organ Donation, and Transplantation

Part of the book series: Comprehensive Manuals of Surgical Specialties ((CMSS))

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Abstract

Although the artificial kidney was invented by Kolff in 19441 its clinical application was restricted for the next 16 years by the lack of a reliable vascular access. The breakthrough came in 1960 when Quinton, Dillard and Scribner2 introduced the teflonsilastic arteriovenous (A-V) shunt, thereby opening the door to practical chronic hemodialysis. The second major contribution in access was made in 1966 when Brescia et al.3 described the subcutaneous A-V fistula, which is still regarded as the best form of vascular access for chronic hemodialysis. In the United States in 1 year (1981), 58,770 patients with end-stage renal disease were managed by dialysis, 52,710 (nearly 90%) of them on hemodialysis, representing an increase of 3359 from the previous year. While the numbers of hemodialysis patients were increasing, only 4883 renal transplants were performed. Similarly, in Europe during a 1-year period (1980–1981) the number of patients on hemodialysis rose from 48,408 to 52,758.

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Bibliography

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Authors
  1. Samuel K. S. So
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Editors and Affiliations

  1. Departments of Surgery and Microbiology, University of Minnesota Health Sciences Center, 55455, Minneapolis, Minnesota, USA

    Richard L. Simmons M.D. (Professor) (Professor)

  2. University of Minnesota Health Sciences Center, 55455, Minneapolis, Minnesota, USA

    Martin E. Finch M.A. (Director, Biomedical Graphics, Associate Professor, Surgery) (Director, Biomedical Graphics, Associate Professor, Surgery)

  3. Department of Surgery, University of Minnesota Health Sciences Center, 55455, Minneapolis, Minnesota, USA

    Nancy L. Ascher M.D. (Instructor) & John S. Najarian M.D. (Professor and Chairman) (Instructor) &  (Professor and Chairman)

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© 1984 Springer-Verlag New York Inc.

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So, S.K.S. (1984). General Principles of Access Surgery. In: Simmons, R.L., Finch, M.E., Ascher, N.L., Najarian, J.S. (eds) Manual of Vascular Access, Organ Donation, and Transplantation. Comprehensive Manuals of Surgical Specialties. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5238-2_1

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  • DOI: https://doi.org/10.1007/978-1-4612-5238-2_1

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-9752-9

  • Online ISBN: 978-1-4612-5238-2

  • eBook Packages: Springer Book Archive

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