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Related Experiment Videos

Scribner shunt conversion to arteriovenous fistula.

R D Sigley, K J May, R M Mack

    American Journal of Surgery
    |March 1, 1979
    PubMed
    Summary
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    Scribner shunts were converted to arteriovenous fistulas in 26 patients, achieving long-term success in 20. This vascular access method proved effective for home and center dialysis, serving as both primary and backup blood access.

    Area of Science:

    • Nephrology
    • Vascular Surgery

    Background:

    • Scribner shunts are a temporary vascular access for hemodialysis.
    • Arteriovenous fistulas offer a more durable long-term vascular access option.

    Purpose of the Study:

    • To evaluate the conversion of Scribner shunts to arteriovenous fistulas.
    • To assess the long-term success and complications of this conversion.

    Main Methods:

    • Retrospective analysis of 26 patients undergoing shunt to fistula conversion.
    • Evaluation of fistula patency, infection rates, and usability for dialysis.

    Main Results:

    • Successful long-term function was achieved in 20 out of 26 patients.
    • Two patients experienced infection, leading to fistula loss.

    Related Experiment Videos

  • Fistulas were utilized for both home and center-based hemodialysis.
  • The converted fistulas served as both primary and backup access sites.

    • Conclusions:

    • Conversion of Scribner shunts to arteriovenous fistulas is a viable option for long-term hemodialysis access.
    • While generally successful, infection remains a potential complication.
    • The resulting arteriovenous fistulas provide versatile access for various dialysis modalities and roles.