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August 30, 1947

ARTERIOVENOUS FISTULAS: Their Effect on the Circulation

Author Affiliations

Atlanta, Ga.

From the Vascular Surgery Center, Ashford General Hospital, White Sulphur Springs, W. Va., and the Departments of Surgery and Medicine, Emory University School of Medicine.

JAMA. 1947;134(18):1524-1528. doi:10.1001/jama.1947.02880350008004

Patients with arteriovenous fistulas are seen with relative infrequency in civilian practice, and therefore clinical impressions concerning them have been based on a rather limited experience. The establishment of centers for the treatment of vascular injuries in certain Army general hospitals afforded an unprecedented opportunity to study a large number of such patients. The first of these Vascular Surgery Centers was established at Ashford General Hospital in March, 1943. At this hospital over 375 patients with arteriovenous fistulas were observed and treated by operative means. This report summarizes our experience in regard to the effect of this type of lesion on the circulation.

Prior to injury the patients had been healthy young men (there were 2 women) with no evidence of cardiovascular disease. The arteriovenous fistulas, all the result of trauma, were of various sizes and occurred in practically every named blood vessel of the body with the exception of