SUCCESSFUL ARTERO VENOUS FISTULA USING CARDICA C-PORT xA SYSTEM IN AN ELDERLY UREMIC PATIENT. A CASE REPORT.

Maione,C

Risultato della ricerca: Paper

Abstract

INTRODUCTION AND AIMS: In artero venous fistula (AVF) hand-sewn anastomoses are considered the gold standard. These are performed generally with a double running suture. These suturing techniques yeld excellent results, despite being time-consuming, difficult to perform with small vessels, and associated with a significant learning curve. These device are intented to enable rapid, precise and reliable anastomoses in AVF without artery cross-clamping. METHODS: We report the case of a male 65 years old uremic patient with serious atherosclerosis that, in local anesthesia, underwent proximal AVF by mechanical anastomosis between cephalic vein and radial artery without arterious cross-clamping. This is possible with the assistance of the Cardica C-Port xA System (Cardica , Inc, Redwood City,CA) a new device first used in coronary artery by-pass. The C-port device integrates in one tool all functions necessary to enable rapid automated side-to-end-anastomoses between the artery and the vein ( Figure 1). RESULTS: The total surgical time was 25 minutes. The connection between the artery and the vein was performed rapidly ( 10 seconds ), without the need for temporary occlusion of the artery. The thrill was present immediately after the anastomosis without bleeding from suture side CONCLUSIONS: The potential advantages of using this device include the ability to produce precise and fast anastomoses in a standardized fashion that requires minimal training. In uremic patients with severe atherosclerosis the lack of artery cross-clamping can reduce the intimal damages and AVF thromboses. Furthermore, adequate follow-up is necessary, because long patency of AVF with the C-Port xA is unknown.
Lingua originaleEnglish
Stato di pubblicazionePublished - 2008

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Fistula
Arteries
Constriction
Veins
Equipment and Supplies
Sutures
Atherosclerosis
Sequoia
Tunica Intima
Radial Artery
Aptitude
Learning Curve
Local Anesthesia
Operative Time
Venous Thrombosis
Coronary Vessels
Hand
Head
Hemorrhage

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@conference{2c632cad122b4b038fdb6e1a662a0d31,
title = "SUCCESSFUL ARTERO VENOUS FISTULA USING CARDICA C-PORT xA SYSTEM IN AN ELDERLY UREMIC PATIENT. A CASE REPORT.",
abstract = "INTRODUCTION AND AIMS: In artero venous fistula (AVF) hand-sewn anastomoses are considered the gold standard. These are performed generally with a double running suture. These suturing techniques yeld excellent results, despite being time-consuming, difficult to perform with small vessels, and associated with a significant learning curve. These device are intented to enable rapid, precise and reliable anastomoses in AVF without artery cross-clamping. METHODS: We report the case of a male 65 years old uremic patient with serious atherosclerosis that, in local anesthesia, underwent proximal AVF by mechanical anastomosis between cephalic vein and radial artery without arterious cross-clamping. This is possible with the assistance of the Cardica C-Port xA System (Cardica , Inc, Redwood City,CA) a new device first used in coronary artery by-pass. The C-port device integrates in one tool all functions necessary to enable rapid automated side-to-end-anastomoses between the artery and the vein ( Figure 1). RESULTS: The total surgical time was 25 minutes. The connection between the artery and the vein was performed rapidly ( 10 seconds ), without the need for temporary occlusion of the artery. The thrill was present immediately after the anastomosis without bleeding from suture side CONCLUSIONS: The potential advantages of using this device include the ability to produce precise and fast anastomoses in a standardized fashion that requires minimal training. In uremic patients with severe atherosclerosis the lack of artery cross-clamping can reduce the intimal damages and AVF thromboses. Furthermore, adequate follow-up is necessary, because long patency of AVF with the C-Port xA is unknown.",
keywords = "Arteo venous fistula, elderly uremic ptients",
author = "Maione,C and Maurizio Romano and {Lo Monte}, {Attilio Ignazio} and Giuseppe Buscemi and Francesco Moscato and Gioviale, {Maria Concetta}",
year = "2008",
language = "English",

}

TY - CONF

T1 - SUCCESSFUL ARTERO VENOUS FISTULA USING CARDICA C-PORT xA SYSTEM IN AN ELDERLY UREMIC PATIENT. A CASE REPORT.

AU - Maione,C

AU - Romano, Maurizio

AU - Lo Monte, Attilio Ignazio

AU - Buscemi, Giuseppe

AU - Moscato, Francesco

AU - Gioviale, Maria Concetta

PY - 2008

Y1 - 2008

N2 - INTRODUCTION AND AIMS: In artero venous fistula (AVF) hand-sewn anastomoses are considered the gold standard. These are performed generally with a double running suture. These suturing techniques yeld excellent results, despite being time-consuming, difficult to perform with small vessels, and associated with a significant learning curve. These device are intented to enable rapid, precise and reliable anastomoses in AVF without artery cross-clamping. METHODS: We report the case of a male 65 years old uremic patient with serious atherosclerosis that, in local anesthesia, underwent proximal AVF by mechanical anastomosis between cephalic vein and radial artery without arterious cross-clamping. This is possible with the assistance of the Cardica C-Port xA System (Cardica , Inc, Redwood City,CA) a new device first used in coronary artery by-pass. The C-port device integrates in one tool all functions necessary to enable rapid automated side-to-end-anastomoses between the artery and the vein ( Figure 1). RESULTS: The total surgical time was 25 minutes. The connection between the artery and the vein was performed rapidly ( 10 seconds ), without the need for temporary occlusion of the artery. The thrill was present immediately after the anastomosis without bleeding from suture side CONCLUSIONS: The potential advantages of using this device include the ability to produce precise and fast anastomoses in a standardized fashion that requires minimal training. In uremic patients with severe atherosclerosis the lack of artery cross-clamping can reduce the intimal damages and AVF thromboses. Furthermore, adequate follow-up is necessary, because long patency of AVF with the C-Port xA is unknown.

AB - INTRODUCTION AND AIMS: In artero venous fistula (AVF) hand-sewn anastomoses are considered the gold standard. These are performed generally with a double running suture. These suturing techniques yeld excellent results, despite being time-consuming, difficult to perform with small vessels, and associated with a significant learning curve. These device are intented to enable rapid, precise and reliable anastomoses in AVF without artery cross-clamping. METHODS: We report the case of a male 65 years old uremic patient with serious atherosclerosis that, in local anesthesia, underwent proximal AVF by mechanical anastomosis between cephalic vein and radial artery without arterious cross-clamping. This is possible with the assistance of the Cardica C-Port xA System (Cardica , Inc, Redwood City,CA) a new device first used in coronary artery by-pass. The C-port device integrates in one tool all functions necessary to enable rapid automated side-to-end-anastomoses between the artery and the vein ( Figure 1). RESULTS: The total surgical time was 25 minutes. The connection between the artery and the vein was performed rapidly ( 10 seconds ), without the need for temporary occlusion of the artery. The thrill was present immediately after the anastomosis without bleeding from suture side CONCLUSIONS: The potential advantages of using this device include the ability to produce precise and fast anastomoses in a standardized fashion that requires minimal training. In uremic patients with severe atherosclerosis the lack of artery cross-clamping can reduce the intimal damages and AVF thromboses. Furthermore, adequate follow-up is necessary, because long patency of AVF with the C-Port xA is unknown.

KW - Arteo venous fistula, elderly uremic ptients

UR - http://hdl.handle.net/10447/46350

M3 - Paper

ER -