ABSTRACT
The first of its kind, the Quinton-Scribner method of arteriovenous shunt formation for hemodialysis, was introduced in 1960. Searching for more advantageous solutions M. Brescia et al in 1966 introduced a new technique involving operative formation of a side-to-side shunt within the wrist, between the radial artery and the cephalic vein. Disappearance of pulsation and murmur over the shunt indicates thrombosis. In such patients, the shunt can be prepared at other atypical sites. The radial artery was connected with the cephalic vein by a side-to-side shunt in which the anastomosis was at least three times the diameter of the artery. Furthermore, our method of performing an arteriovenous shunt in the area of the medial ulnar via modification of the Grabben II method proved to be progressively advantageous. According to the Grabben II method, the peripheral end of a transected great saphenous vein is anastomosed end-to-side with the femoral artery.
