PMID- 32939242
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2042-8812 (Print)
IS  - 2042-8812 (Electronic)
IS  - 2042-8812 (Linking)
VI  - 2020
IP  - 9
DP  - 2020 Sep
TI  - Minimal incision superficialization of the brachial artery: a technical note.
PG  - rjaa292
LID - 10.1093/jscr/rjaa292 [doi]
LID - rjaa292
AB  - The Japanese Society for Dialysis Therapy recommends superficialization of the 
      brachial artery (BA) for vascular access in patients with comorbidities. We 
      describe a novel minimal incision superficialization surgery of a BA through a 
      single small incision. A 78-year-old male, who underwent chronic hemodialysis 
      through an arterio-venous fistula, was transferred to our hospital for treatment 
      of heart failure. We chose superficialization of the right BA for new vascular 
      access. Under tumescent local analgesia, though a single 2-cm long incision, the 
      BA was superficialized for 10-cm long. To complete procedures in the narrow and 
      deep space, vessel branches were ligated by vascular clip and knot-less barbed 
      suture was applied for closure of the brachial fascia beneath the BA. The 
      hemodynamic status during the hemodialysis improved and the New York Heat 
      Association (NYHA) classification grade improved from IV to II. This technique 
      can be an alternative for arterio-venous fistula in patients with comorbidities.
CI  - Published by Oxford University Press and JSCR Publishing Ltd. All rights 
      reserved. (c) The Author(s) 2020.
FAU - Kawatani, Yohei
AU  - Kawatani Y
AUID- ORCID: 0000-0002-5021-8521
AD  - Department of Cardiovascular Surgery, Takasaki Heart Hospital, Takasaki 370 0001, 
      Japan.
FAU - Oguri, Atsushi
AU  - Oguri A
AD  - Department of Cardiology, Takasaki Heart Hospital, Takasaki 370 0001, Japan.
LA  - eng
PT  - Journal Article
DEP - 20200910
PL  - England
TA  - J Surg Case Rep
JT  - Journal of surgical case reports
JID - 101560169
PMC - PMC7482959
OTO - NOTNLM
OT  - brachial artery
OT  - superficialization
OT  - transposition
OT  - tumescent local analgesia
EDAT- 2020/09/18 06:00
MHDA- 2020/09/18 06:01
PMCR- 2020/09/10
CRDT- 2020/09/17 05:44
PHST- 2020/07/01 00:00 [received]
PHST- 2020/07/07 00:00 [revised]
PHST- 2020/07/09 00:00 [accepted]
PHST- 2020/09/17 05:44 [entrez]
PHST- 2020/09/18 06:00 [pubmed]
PHST- 2020/09/18 06:01 [medline]
PHST- 2020/09/10 00:00 [pmc-release]
AID - rjaa292 [pii]
AID - 10.1093/jscr/rjaa292 [doi]
PST - epublish
SO  - J Surg Case Rep. 2020 Sep 10;2020(9):rjaa292. doi: 10.1093/jscr/rjaa292. 
      eCollection 2020 Sep.