股動脈穿刺による人工腎臓透析回路(A-V Shunt)の作製

概要

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A simplified method for the construction of an extracorporeal bypass for hemodialysis has been described. 1) It is the procedure for the hemodialytic shunt construction to use taper catheters embedded in the femoral artery and vein based on the principle of selective renal angiography descrided by Edholmand Seldinger, and for the formation of an A-V shunt with the aid of a silicon rubber tube connected to the flared outer ends of the catheters for use at intervals between regular dialyses. 2) The results of clinical trial in intermittent hemodialysis with this extracorporeal circuit system in a series of four patients with chronic renal insufficiency using Kolff's twin kidney apparatus stress its usefulness in improving disorders of fluid and serum electrolyte regulation.
1968-07-20