Eric Peden, MD and M. Mujeeb Zubair, MD demonstrate Arteriovenous Fistula (AVF) Superficialization.
This video demonstrates superficial ization off a break your Pacific fistula to be used for dialysis access. Break your Pacific Fischelis after creation. Most often require a second stage procedure, which can include either a transposition or superficial ization. This allows the Pacific wind to be mobilized from its media location in the arm to a central or lateral position and hence easier access during dialysis. Ultrasound is used to mark the location off Pacific Wayne in the arm. This is followed by making incision on the medial aspect off the arms centered over the Pacific main dissection is carried through the skin and subcutaneous tissue. Next careful dissection is then perform to dissect free the basilica win from the surrounding subcutaneous tissue. Care is taken, not toe inadvertently injured. The nerves dissection is continued, both approximately and destiny, and a sufficient length off basilica wind is then mobilized. We then proceed with dividing the side branches coming off this basilica. Wayne. This is done with the help off silk ties in clips. We then proceed with creating a subcutaneous flap. This is created in such a way toe allow for superficial ization off the basilica win and at the same time, leaving enough tissue so as not to compromise the blood flow to the skin after creating the flat. Once this flap is created, the basilica Wayne is then superficial ized. A drain is then placed. He then proceeded with approximation off the subcutaneous tissue, using a three or vicryl suture in an interrupted fashion, allowing for superficial ization off this basilica. Wayne Care is also taken north to twist the basilica when, during superficial ization, this subcutaneous flap allow us too superficial eyes the basilica man has shown in this video. Next, the dermal layers are closed with a three or PDS suitor with the basilica man in a more superficial location to be used for dialysis access. Once the deep, dermal layers air closed, the skin is then closed with a running faro monocle.
