LONG-TERM EXPERIENCE OF THOMAS SHUNTS ON THE ILIAC VESSELS

被引：2

作者：

MEECH, PR ^{[1
]}

HARDIE, IR ^{[1
]}

HARTLEY, LCJ ^{[1
]}

WOODRUFF, PWH ^{[1
]}

STRONG, RW ^{[1
]}

CLUNIE, GJA ^{[1
]}

机构：

[1] PRINCESS ALEXANDRA HOSP, DEPT SURG, DIALYSIS & TRANSPLANT UNIT, WOOLLOONGABBA, QLD 4102, AUSTRALIA

来源：

AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1981年 / 51卷 / 02期

关键词：

D O I：

10.1111/j.1445-2197.1981.tb05930.x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Thomas shunts were used 24 times in 20 patients to provide secondary vascular access [for hemodialysis] in an often poor-risk group of patients, including children. Twenty shunts were on the iliac vessels. Five shunts are in current use, the longest having been in situ for 83 mo. Another 13 shunts provided access until renal transplantation or death of the patient. Six shunts developed deep infection which usually extended to the Dacron-arterial anastomosis; the management of these infected iliac shunts was difficult and hazardous. No definite advantage for the iliac placement of shunts was established, and its use at this site is not recommended. Although the Thomas shunt can provide good long-term access, its use should be limited to that of a shunt of last resort.

引用

页码：161 / 165

页数：5