RT Journal
A1 Anderson CB, Gilula LA, Sicard GA, Etheredge EE
T1 VEnous angiography of subcutaneous hemodialysis fistulas
JF Archives of Surgery
JO Archives of Surgery
YR 1979
FD November 1
VO 114
IS 11
SP 1320
OP 1325
DO 10.1001/archsurg.1979.01370350122015
UL http://dx.doi.org/10.1001/archsurg.1979.01370350122015
AB • Venous angiography was performed on 256 subcutaneous arteriovenous dialysis fistulas. The technique involves temporary arterial inflow occlusion, needle injection of contrast material into the venous segment, and rapid sequence roentgenograms as arterial flow is restored. It requires no fluoroscopy or catheterization, avoids trauma to either the brachial or axillary arteries, and can be performed on an outpatient basis. Indications for fistulography included technical complications during dialysis, high-output cardiac failure, aneurysms, sepsis, and other reasons. Studies demonstrated significant stenosis or occlusion, insignificant stenosis, malpositioned needles, excessive fistula flow, aneurysms, thrombus formation, maturation failure, and other and normal findings. Only one study caused fistula thrombosis. Ninety-one percent of the studies provided information useful in the overall clinical management of the patients.(Arch Surg 114:1320-1325, 1979)