抄録
Shunt failure is one of the most troublesome problems in chronic haemodialysis. Various operations such as the use of autogenous vein grafts, heterogenous artery grafts and artificial grafts are used for the patients who had multiple vascular operations caused shunt complications. A retrograde arteriovenous forearm fistula reported by Graben in 1973 is one of these operations. We have modified Graben's technique as shown in Fig. 1-2. and used for 39 patients who had previous multiple shunt failures. Long term patency rate more than 6 months was 87.2% and four fistulas now have been successfully in use for more than 5 years. Initial edema of forearm occurred in all patients but it regressed spontaneously. Other complications were not observed except two patients experienced aneurysma in fistula.
