{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:04Z","timestamp":1753877224615,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T00:00:00Z","timestamp":1599782400000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa292","type":"journal-article","created":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T11:10:36Z","timestamp":1594379436000},"source":"Crossref","is-referenced-by-count":1,"title":["Minimal incision superficialization of the brachial artery: a technical note"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-8521","authenticated-orcid":false,"given":"Yohei","family":"Kawatani","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Takasaki Heart Hospital, Takasaki 370 0001, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Oguri","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Takasaki Heart Hospital, Takasaki 370 0001, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,9,10]]},"reference":[{"key":"2020091020140967800_ref1","first-page":"408","article-title":"16 month\u2019s experience with the subcutaneously fixed superficial femoral artery for chronic hemodialysis","volume":"7","author":"Brittinger","year":"1970","journal-title":"Proc Eur Dial Transplant Assoc"},{"key":"2020091020140967800_ref2","doi-asserted-by":"crossref","first-page":"855","DOI":"10.4009\/jsdt.44.855","article-title":"Guidelines of vascular access construction and repair for chronic hemodialysis [in Japanese]","volume":"44","author":"Vascular Access Work Group Committee","year":"2011","journal-title":"J Jpn Soc Dial Ther"},{"key":"2020091020140967800_ref3","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/0272-6386(95)90596-0","article-title":"Superficial repositioning of the artery for chronic hemodialysis: indications and prognosis","volume":"26","author":"Yasunaga","year":"1995","journal-title":"Am J Kidney Dis"},{"key":"2020091020140967800_ref4","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1016\/j.jvs.2013.11.093","article-title":"Superficialization of brachial artery as effective alternative vascular access","volume":"59","author":"Nakamura","year":"2014","journal-title":"J Vasc Surg"},{"key":"2020091020140967800_ref5","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1016\/j.jvs.2015.10.063","article-title":"Successful use of minimal incision superficialization technique for arteriovenous fistula maturation","volume":"63","author":"Inkollu","year":"2016","journal-title":"J Vasc Surg"},{"key":"2020091020140967800_ref6","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1111\/1744-9987.12688","article-title":"Endoscopic superficialization of arteriovenous fistula: a novel technique with common devices","volume":"22","author":"Isaak","year":"2018","journal-title":"Ther Apher Dial"},{"key":"2020091020140967800_ref7","doi-asserted-by":"crossref","first-page":"e473","DOI":"10.3928\/01477447-20110714-35","article-title":"Use of a barbed suture in the closure of hip and knee arthroplasty wounds","volume":"34","author":"Levine","year":"2011","journal-title":"Orthopedics"},{"key":"2020091020140967800_ref8","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/j.arth.2010.07.003","article-title":"Knee arthrotomy repair with a continuous barbed suture: a biomechanical study","volume":"26","author":"Vakil","year":"2011","journal-title":"J Arthroplasty"},{"key":"2020091020140967800_ref9","doi-asserted-by":"crossref","first-page":"2031","DOI":"10.1097\/PRS.0b013e3181f44486","article-title":"Do not use epinephrine in digital blocks: myth or truth? 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