External Shunts and Internal Fistulas

Editorial Notes1 June 1971External Shunts and Internal FistulasKARL D. NOLPH, M.D., F.A.C.P.KARL D. NOLPH, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-74-6-1008 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptChronic intermittent extracorporeal hemodialysis became practical with the development of the external arteriovenous shunt by Quinton, Dillard, and Scribner in 1960 (1). With the use of these Teflon, later Silastic-Teflon and recently all Silastic, cannulae, thousands of patients have received this life-sustaining therapy in the past decade. Uncomplicated shunts have minimal effects on cardiac output and, aside from the inconvenience of avoiding trauma or wetting of the shunt area, are well tolerated. Mean shunt survival has been reported by some centers to be as high as 12 to 14 months (2).Yet the shunt that made chronic dialysis possible has...References1. QUINTONDILLARDSCRIBNER WDB: Cannulation of blood vessels for prolonged hemodialysis. Trans Amer Soc Artif Intern Organs 6:104-113, 1960 MedlineGoogle Scholar2. PENDRASSMITH JM: The silastic teflon arterio-venous cannula. Trans Amer Soc Artif Intern Organs 12:222-228, 1966 MedlineGoogle Scholar3. FAROOKIGERGELYMCANINCH MNL: External arteriovenous shunts for intermittent long term hemodialysis: five years experience. Canad Med Ass 103:1371-1374, 1970 MedlineGoogle Scholar4. THOMAS G: Large vessel appliquè arteriovenous shunt for hemodialysis. A new concept. Amer J Surg 120:244-248, 1970 CrossrefMedlineGoogle Scholar5. BRESCIACIMINOAPPEL MJK: Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. New Eng J Med 275:1089-1092, 1966 CrossrefMedlineGoogle Scholar6. MERRILLSCHUPAKCAMERON JEE: Hemodialysis in the home. JAMA 190:468-470, 1964 CrossrefMedlineGoogle Scholar7. Editorial: Hemodialysis using an arteriovenous fistula. New Eng J Med 275:1134-1135, 1966 CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Department of Medicine University of Missouri Medical Center Columbia, Mo. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byVascular access for hemodialysis: A perpetual challengeSepticemia in Patients on Chronic HemodialysisJAY F. DOBKIN, M.D., MICHAEL H. MILLER, M.D., NEAL H. STEIGBIGEL, M.D., F.A.C.P.Blood flow in end-to-side arteriovenous fistulas and saphenous vein graftsBlood Loss from Cannulation Sites during Haemodialysis 1 June 1971Volume 74, Issue 6Page: 1008-1009KeywordsCardiac outputFistulasMedical dialysis Issue Published: 1 June 1971 PDF downloadLoading ...