W20b Twardowski 1 Buttonhole Method of Fistula ... - SFAV
W20b Twardowski 1 Buttonhole Method of Fistula ... - SFAV
W20b Twardowski 1 Buttonhole Method of Fistula ... - SFAV
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Krönung G: Plastic deformation <strong>of</strong> Cimino fistula<br />
by repeated puncture. Dial Transplant 1984; 13, 635<br />
• Rope ladder method requires<br />
fistula with long segments<br />
suitable for cannulations<br />
• Area puncture method, where<br />
punctures are done in a<br />
confined area, weakens fistula<br />
wall and leads to development<br />
<strong>of</strong> (pseudo)aneurysms, and<br />
strictures<br />
• <strong>Buttonhole</strong> (constant site)<br />
method is the best - may be<br />
also used in fistulas with short<br />
segments suitable for sticking