Abstract
Access to blood is still the most important determinant for continued wellbeing of patients with end-stage renal failure, maintained on haemodialysis (HD)1–3. The two types of vascular access used most frequently are the internal arteriovenous fistula as introduced by Brescia-Cimino and the external Teflon-Silastic shunt of Quinton-Scribner4,5. For chronic HD treatment the internal fistula represents the vascular access of choice, whereas in acute renal failure HD is started via a Scribner shunt in many centres2,6. In paediatric nephrology an immediate start of HD often becomes necessary because of acute onset of renal failure with rapid and - unfortunately often irreversible - deterioration of renal function. In this situation the A-V fistula is unsuitable since, particularly in children, many weeks or months may pass before an accessible vessel has matured. Therefore in these cases a Scribner shunt is used most commonly, later being abandoned in favour of a Cimino fistula on the contralateral forearm6. By this procedure, valuable vascular access sites are already wasted in the first weeks of dialysis treatment.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Butt, K. M. H. (1978). Blood access. Clin. Nephrol., 9, 138
Haimov, M. (1975). Vascular access for hemodialysis. Surg. Gynecol. Obstet., 141, 619
Hirschmann, G. H., Wolfson, M., Mosimann, J. E., Clark, C. B., Dante, M. L. and Wineman, R. J. (1981). Complications of dialysis. Clin. Nephrol., 15, 66
Brescia, M. J., Cimino, J. E., Appel, K. and Hurwich, B. J. (1966). Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. N. Engl. J. Med., 275, 1089
Quinton, W. E., Dillard, D. and Scribner, B. H. (1960). Cannulation of blood vessels for prolonged hemodialysis. Trans. Am. Soc. Artif. Intern. Organs, 6, 104
Bell, P. R. F. and Caiman, K. C. (1979). Vascular access in dialysis. In Drukker, W., Parsons, F. M. and Maher, J. F. (eds.). Replacement of Renal Function by Dialysis, pp. 182–198. (The Hague: Martinus Nijhoff)
Buselmeier, T. J., Rynasiewicz, J. J., Howard, R. H., Sutherland, D. E. R., Davin, T. D., Lynch, R. L., Hodson, E. H., Simmons, R. L., Najarian, J. S. and Kjellstrand, C. M. (1977). Fistulisation of shunt vasculature: a unique approach to fistula development. Br. Med. J., 2, 933
Sigley, R. D., May, K. J. and Mack, R. M. (1979). Scribner shunt conversion to arteriovenous fistula. Am. J. Surg., 137, 423
Simonian, S. J., Stuart, F. P., Hill, J. L. and Mahajan, S. K. (1977). Conversion of a Scribner shunt to an arteriovenous fistula for chronic dialysis. Surgery, 82, 448
Höffler, D., Kaltenbach, Th., Quellhorst, E., Scheler, F. and Wigger, W. (1965). Erfahrungen mit einem Silicon-Teflon-A-V-Shunt bei der Hämodialyse. Dtsch. Med. Wochenschr., 90, 1824
Hardy, M. A., Schneider, K. M. and Levitt, S. B. (1974). An improved technique for the construction of internal arteriovenous fistulas in uremic children. J. Pediatr. Surg., 9, 465
Wander, J. V., Moore, E. S. and Jonasson, O. (1970). Internal arteriovenous fistulae for dialysis in children. J. Pediatr. Surg., 5, 533
Baillod, R. (1975). Eight years experience in home dialysis in children under the age of 15 years. In Bulla, M. (ed.). Probleme der Kinderdialyse, pp. 97–106. (Melsungen: B. Braun)
Buselmeier, T. J., Santiago, E. A., Simmons, R. L., Najarian, J. S. and Kjellstrand, C. M. (1971). Arteriovenous shunts for pediatric hemodialysis. Surgery, 70, 638
Graben, N., Cremer, W. and Merguet, P. (1976). Der In-Line-Shunt als optimale Modifikation des Teflon-Silastic-Shunts. Nieren-und Hochdruckkrankheiten, 7, 177
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1983 MTP Press Limited
About this chapter
Cite this chapter
Daul, A.E., Graben, N., Windeck, R., Pistor, K. (1983). Conversion of Teflon-Silastic shunts to A-V fistulas in small children with chronic renal failure. In: Kootstra, G., Jörning, P.J.G. (eds) Access Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-6592-8_14
Download citation
DOI: https://doi.org/10.1007/978-94-009-6592-8_14
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-009-6594-2
Online ISBN: 978-94-009-6592-8
eBook Packages: Springer Book Archive