title: A-V fistula after venous reconstruction. A simplified method of producing and obliterating the shunt.
abstract: To improve patency of the low flow, low pressure crossover venous graft for unilateral iliac venous occlusions, complementary arteriovenous fistula has been effective. Two additional anastomoses are usually required to construct a complementary A-V fistula, and a sometimes difficult and potentially dangerous dissection may be required to take down the fistula. A technique has been developed for producing an A-V fistula with only one additional anastomosis. This fistula can be obliterated later by tightening a previously placed loop left in a subcutaneous position. This technique has been used successfully in two patients.
mesh_terms: D000328:Adult; D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D007084:Iliac Vein; D008297:Male; D012501:Saphenous Vein / Q000601:surgery*; D014652:Vascular Diseases / Q000601:surgery