USEFULNESS OF ANATOMICAL SNUFFBOX FOR BLOOD ACCESS

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  • SUZUKI Hiromasa
    Department of Cardiovascular Surgery, Toho University Ohashi Hospital
  • SHIROMA Kenji
    Department of Cardiovascular Surgery, Toho University Ohashi Hospital
  • TAMURA Susumu
    Department of Cardiovascular Surgery, Toho University Ohashi Hospital
  • YOKOMURO Masashi
    Department of Cardiovascular Surgery, Toho University Ohashi Hospital
  • KAMEZAKI Masamichi
    Department of Cardiovascular Surgery, Toho University Ohashi Hospital
  • OOTSUKI Minoru
    Department of Cardiovascular Surgery, Toho University Ohashi Hospital
  • UCHIDA Shinn
    Department of Cardiovascular Surgery, Toho University Ohashi Hospital
  • MURAOKA Asaki
    Department of Cardiovascular Surgery, Toho University Ohashi Hospital

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Other Title
  • ブラッドアクセス作製部位としてのタバコ窩の有用性の検討

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Anatomical snuff box (Tabatiere) has come the common use as the site of blood access (BA) for chronic hemodialysis patients. Eighty-three cases undergoing an initial BA surgery were subjected to a study on the difference in blood flow and patency in BA sites between Tabatiere and conventional standard sites, the wrist and elbow. In addition respective BA sites were compared for underlying diseases anstomosis procedure, and complications.<br> 1) Tabatiere for initial BA surgery was excellent in blood flow and patency, bearing comparison with standard sites. 2) If radial pulse was strong despite diabetic nephropathy, blood flow and patency were satisfactory. 3) For aged and female patients the maximum blood flow during hemodialysis was signifi-cantly lower. 4) End-to-side anastomoses were preferable since the frequency of early occlusion (up to 1 month) was greater in the cases undergoing side-tp-side anastomoses than those undergoing end-to-side anastomoses. 5) The risk of shunt occlusion was significantly greater in the cases with less maximum blood flow.

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