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Related Experiment Video

Updated: Jun 9, 2025

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

Published on: April 1, 2022

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A novel technique for snuffbox fistula creation.

Xiaohe Wang1, Jia Zhi1, Guocun Hou1

  • 1Department of Nephrology, Suzhou Research Center of Medical School, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, China.

The Journal of Vascular Access
|October 24, 2024
PubMed
Summary
This summary is machine-generated.

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This pilot study introduces a new snuffbox fistula (SBF) technique. The modified no-touch and piggyback techniques showed high success and maturity rates in eight patients.

Area of Science:

  • Vascular Surgery
  • Dialysis Access

Background:

  • Describes a novel technique for creating a snuffbox fistula (SBF).
  • Presents preliminary outcomes of the SBF technique after 4-6 weeks of follow-up.

Purpose of the Study:

  • To evaluate the efficacy and preliminary outcomes of a novel snuffbox fistula (SBF) creation technique.
  • To assess the surgical success and access maturity rates of the described SBF method.

Main Methods:

  • Employed a modified no-touch technique (MNTT) combined with a piggyback straight-line on-lay technique (pSLOT).
  • The study included eight male patients with a mean age of 50 years.
  • SBF creation was performed using the MNTT and pSLOT.

Main Results:

  • Immediate patency was achieved in all patients.
Keywords:
Accessdialysismodified no-touch techniquepiggyback straight-line on-lay techniquesnuffbox fistula

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  • Seven out of eight SBFs met clinical maturity criteria at 4-6 weeks post-surgery.
  • Ultrasound confirmed adequate drainage vein diameter (4-6 mm) and brachial blood flow (>=500 mL/min) in mature fistulas.

    • Conclusions:

    • The combined MNTT and pSLOT technique successfully established snuffbox fistulas.
    • High rates of surgical success and access maturity were observed.