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March 1972

The Transpalmar Fistula for Hemodialysis

Author Affiliations

From the departments of surgery (Dr. Morgan) and medicine (Dr. Bailey), Peter Bent Brigham Hospital and Harvard Medical School, Boston.

Arch Surg. 1972;104(3):353-354. doi:10.1001/archsurg.1972.04180030099026

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.