We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Experience with Arteriovenous Shunts in Leukemic Patients

A. D. Chanana, FRCS; E. P. Cronkite, MD; M. L. Greenberg, MD; K. R. Rai, MB; L. M. Schiffer, MD; P. A. Stryckmans, MD; P. C. Vincent, MB, MRACP
Arch Surg. 1968;97(1):154-160. doi:10.1001/archsurg.1968.01340010184026.
Text Size: A A A
Published online


THE TEFLON arteriovenous shunt (AV shunt), originally developed by Quinton et al1 for use with the artificial kidney, has generally been adopted for extracorporeal irradiation of the circulating blood (ECIB) in the experimental therapy of human leukemia by us2-4 and others.5,6 The problems associated with the long-term management of these shunts in patients with chronic renal insufficiency have been discussed by other workers.7-9 Our experience has differed from that reported in patients with chronic renal failure and we, therefore, considered it pertinent to publish our findings in the hope that these might prove to be of some use to investigators employing ECIB in leukemic patients.

Materials and Methods  Thirty-three patients with leukemia, admitted to the hospital of the Medical Research Center, Brookhaven National Laboratory, from November 1964 to March 1967 have been treated by ECIB. Sixteen of these patients had acute myelocytic leukemia (AML), 11 patients


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.