Modified Allen's Test in radiocephalic arterio-venous fistula creation: how relevant?
The significance of the Modified Allen's Test has not been determined in Nigerians who need forearm arterio-venous fistulae. We sought to determine this in thirty-four patients who needed forearm arterio-venous fistulae for haemodialysis. Side-to-end radio-cephalic arterio-venous fistulae were successfully created on their forearms notwithstanding the result of Modified Allen's test. Modified Allen's test was negative in 12 (35.3% ) of the patients and side-to-end radio-cephalic fistulae were created on the forearm of all of them without any untoward effects. We concluded that preoperative Modified Allen's test is not necessary for side-to-end radio-cephalic arterio-venous fistulae of the forearm.
Thomas
M O
MO
Lagos University Teaching Hospital/College of Medicine of University of Lagos, Nigeria.
Awobusuyi
J O
JO
D000328:Adult; D001166:Arteriovenous Shunt, Surgical; D002408:Catheters, Indwelling; D003097:Collateral Circulation / Q000502:physiology*; D005260:Female; D006225:Hand / Q000098:blood supply*; D006801:Humans; D008297:Male; D009549:Nigeria; D011237:Predictive Value of Tests; D011300:Preoperative Care; D011446:Prospective Studies; D017534:Radial Artery / Q000503:physiopathology* / Q000601:surgery; D012039:Regional Blood Flow / Q000502:physiology; D006435:Renal Dialysis; D017535:Ulnar Artery / Q000503:physiopathology*