Experience with different types of fistulas and shunts for hemodialysis.
Three alternative methods to obtain access to the circulatory system for hemodialysis has been used. The Cimono-Brescia fistula is the method of choice and is almost always successful if the vessels are intact. The femoral Quinton-Scribner shunt has proved unreliable and dangerous. The subdermal vein graft is a useful and acceptable alternative if the vessels of the upper limbs have been destroyed.
D001163:Arteriovenous Anastomosis / Q000601:surgery; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D005263:Femoral Artery / Q000601:surgery; D006084:Graft Rejection; D006801:Humans; D006435:Renal Dialysis; D014182:Transplantation, Autologous; D014680:Veins / Q000637:transplantation