title: [New arteriovenous fistula for extracorporal hemodialysis using a cattle-artery heterologous graft].
abstract: 17 patients are reported in whom an arterio-venous shunt has been established by means of an arterial graft (bovine origin). The indications were: need of maintenance hemodialysis under absence of functioning shunt and lack of peripheral vessels suitable for construction of a Cimino fistula. 14 shunts developed function without any complication. In 2 patients thrombosis of the graft occured. Both of them could be re-established in function by thrombectomy. 2 cases necessitated removal of the transplant. The question as to an immunological rejection remains open up to now. The advantages of the new shunt are: immediate readiness for hemodialysis, sufficiently long distance for puncture, easy and painless punctures and the possibility of access to deeper vessels.
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D002339:Carotid Arteries / Q000637:transplantation*; D002417:Cattle; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D014183:Transplantation, Heterologous
vernacular_title: Neue arterio-venöse Fistel zur extrakorporalen Hämodialyse unter Verwendung eines Rinderarterien-Heterotransplantates