A novel technique for snuffbox fistula creation.

IF 1.7 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2025-09-01 Epub Date: 2024-10-24 DOI:10.1177/11297298241292116

Xiaohe Wang, Jia Zhi, Guocun Hou

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引用次数: 0

Abstract

Background: In this pilot study, we describe a novel technique for creating a snuffbox fistula (SBF) and present the preliminary outcomes after 4-6 weeks of follow-up.

Methods: The study included eight male patients with a mean age of 50 years (range 36-66 years). All patients received an SBF using the modified no-touch technique (MNTT) and piggyback straight-line on-lay technique (pSLOT).

Results: Immediate patency was obtained for all patients. In one case, a thrombosis developed at the juxta anastomosis. The remaining seven SBFs met the clinical arteriovenous fistula maturity criteria at the physical examination performed 4-6 weeks after surgery, showing an easily palpable vein, a straight superficial segment >10 cm in length and a sufficient diameter, and good palpable thrill. In addition, an ultrasound examination showed that the diameter of the drainage vein was 4-6 mm, and the brachial blood flow was ⩾500 mL/min.

Conclusions: The combination of MNTT and pSLOT was used to successfully establish SBFs, and the success rate of surgery and access maturity were high.

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鼻瘘管造口的新技术。

背景：在这项试验性研究中，我们介绍了一种新的鼻饲盒瘘管（SBF）制作技术，并展示了 4-6 周随访后的初步结果：在这项试验性研究中，我们介绍了一种新颖的鼻烟盒瘘管（SBF）创建技术，并展示了 4-6 周随访后的初步结果：研究对象包括 8 名男性患者，平均年龄为 50 岁（36-66 岁不等）。所有患者都接受了改良无触点技术（MNTT）和捎带式直线铺设技术（pSLOT）的 SBF：结果：所有患者都立即获得了通畅。结果：所有患者都立即获得了通畅，其中一例患者的吻合处出现了血栓。其余 7 例 SBF 在术后 4-6 周进行的体格检查中均符合动静脉瘘临床成熟标准，表现为静脉容易触及，浅表直段长度大于 10 厘米，直径足够大，可触及的刺激感良好。此外，超声检查显示引流静脉的直径为 4-6 毫米，肱动脉血流⩾500 毫升/分钟：结论：MNTT 和 pSLOT 联合用于成功建立 SBF，手术成功率和入路成熟度均较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.