Iniziali esperienze sull'impiego di un dispositivo per l'anastomosi vascolare meccanica per le fistolle arterovenose per l'emodialisi.

Attilio Ignazio Lo Monte, Maurizio Romano, Giuseppe Buscemi, Danilo Turco, Francesco Moscato, Gerlando Cocchiara, Jenny Atzeni

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[automatically translated] INTRODUCTION AND OBJECTIVES In the construction of arteriovenous fistulas, manual packaging anastomosis is the gold standard.Generalmente this is made with one or two sutures overcast constantly or sometimes separate stitches. The technique is fairly standardized, although it may require a significant expenditure of time, especially in the presence of small vessels, and also a long learning curve. We report our experience with the use of a device that allows you to make running faster this intervention, precise and without clamping quote artery. MATERIALS AND METHODS We used a stapler for the packaging of vascular anastomosis to the vascular access in two patients with CKD. The anastomosis in both cases was packed between the radial artery and the cephalic vein, locally and without clamping quote artery anesthesia. RESULTS: The mean total duration of the intervention was about 25 minutes. The connection between the radial artery and cephalic vein was made promptly ( 10 seconds), without having to resort to transitional artery clamping. The "thrill", in both cases, it was appreciated immediately after anastomosis without bleeding from the suture margins. CONCLUSIONS The potential advantages of the use of this device include the ability to achieve an anastomosis technically precise and with considerable saving of time, while considering that it needs further improvements. In uremic patients with severe atherosclerotic disease, can not make the quote artery clamping can reduce the risk of damage to the intimal layer and the formation of thrombi in the anastomosis site. Obviously in order to attest to the goodness of the technique used it will be needed targeted studies that are currently not available.
Original languageItalian
Number of pages2
Publication statusPublished - 2008

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