title: Subcutaneous tunneler for vascular access grafts for hemodialysis.
abstract: The Sparks mandril tunneler may be used effectively for accurate subcutaneous placement of vascular grafts during the construction of arteriovenous vascular access for chronic hemodialysis.
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000295:instrumentation*; D006435:Renal Dialysis; D013525:Surgical Instruments