After years of hemodialysis in treatment of chronic renal failure, all usual sites for the Quinton-Scribner shunt may have been used. Access to the circulation can be obtained by forming a fistula between the remaining distal radial artery and a small vein in the forearm. After dilatation of venous collaterals, conventional fistula dialysis is possible. The described technique is based on satisfactory experience with 12 cases.
Morgan AP, Bailey GL. The Transpalmar Fistula for Hemodialysis. Arch Surg. 1972;104(3):353-354. doi:10.1001/archsurg.1972.04180030099026