Evaluation of the efficacy of the transposed upper arm arteriovenous fistula: A single institutional review of 190 basilic and cephalic vein transposition procedures

Woo, Karen; Farber, Alik; Doros, Gheorghe; Killeen, Kelly L.; Kohanzadeh, Som

doi:10.1016/j.jvs.2007.02.057

Cited by 81 publications

(71 citation statements)

References 33 publications

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“…A preoperative evaluation of the upper extremity veins and subclavian vein by Doppler USG is highly recommended, [17] and preoperative vein mapping should be performed, especially for patients with no obviously useful superficial veins or those who have previously undergone the creation of an upper arm fistula. [14] This may improve the outcome of the fistula operation with regard to postoperative success rates.…”

Section: Discussionmentioning

confidence: 99%

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Basilic vein superficialization for hemodialysis vascular access

Yüksel¹

2013

Turk Gogus Kalp Dama

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Background:This study aims to discuss the outcomes of superficialization of basilic vein technique in brachiobasilic arteriovenous fistula formation and to present our experience. Methods: Between January 2006 and January 2012, 170 patients (74 males, 96 females; mean age 60.7±9.1 years; range 31 to 83 years) who underwent basilic vein superficialization surgery in our clinic were included. All patients were examined under Doppler ultrasonography preoperatively. Demographic data of the patients, maturation time and complications were recorded. The mean follow-up was 12 months. Results: Non-dominant upper limb was preferred for surgery. Of the 170 patients who were operated, 166 (97.6%) underwent hemodialysis. The mean maturation time was 61 days. Massive bleeding in the postoperative period occurred in two patients (1.2%). Wound infection was observed in eight patients (4.7%) in the early postoperative period. The most common reason for primary failure was thrombosis, which was observed in 48 patients (28.2%). The primary and secondary patency rates of the fistulas were 77% and 82%, respectively at one-year. Conclusion: Arteriovenous fistula formation through superficialization of the basilic vein offers satisfactory results in chronic hemodialysis patients with reasonable postoperative complication rate.

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Section: Discussionmentioning

confidence: 99%

“…[14] This may improve the outcome of the fistula operation with regard to postoperative success rates. [17] Additionally, venography and multislice spiral computed tomography angiography can also be used to evaluate vascular structures. At our facility, we routinely perform vein mapping for all of our patients using Doppler USG.…”

Section: Discussionmentioning

confidence: 99%

Basilic vein superficialization for hemodialysis vascular access

Yüksel¹

2013

Turk Gogus Kalp Dama

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“…Bu nun la bir lik te yaş, cinsi yet, di ya bet ve ırk gi bi pa ra met re le rin fis tül açık ka lım ora nı nı et ki le me di ği fa kat ön ce den ya pı lan giri şim le rin bun da et ki li ol du ğu bil di ril miş tir. 12 An cak ba zı ya zar lar ta ra fın dan da tam ter si id di a edil miş -tir. 5 Ça lış ma mız da ise bu ko mor bi di te ler fis tül açık ka lı mı ile iliş ki len di ri le me miş tir, çün kü ça lış ma mız bu fak tör le ri göz lem le ye cek ka dar uzun ve ge niş plan lan ma dı.…”

Section: Discussionunclassified

The Last Option Before the Prosthetic Graft in Arteriovenous Fistula Formation: Brachiobasilic Vein Transposition

İnan¹,

Aydin²,

Başel³

et al. 2011

Turkiye Klinikleri J Med Sci

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422ronik böbrek yetmezliği (KBY) tanı ve tedavisindeki bilimsel geliş-meler ile birlikte bu hastaların yaşam süresi oldukça artmıştır.1 Ancak bu olguların hemodiyaliz tedavileri için de fonksiyonel bir vasküler girişim alanına ihtiyaç duyulmaktadır. Rutin olarak radiosefalik (RS) ve brakiosefalik (BS) arteriovenöz fistüller (AVF) oluşturulmaktadır. 2Arteriovenöz Fistül Oluşturulmasında Prostetik Greftten Önce Son Seçenek: Brakiobazilik Ven Yüzeyelleştirilmesi Ö ÖZ ZE ET T A Am ma aç ç: : Se fa lik ven ile oluş tu ru lan ar te ri o ve nöz fis tül ler (AVF) he mo di ya liz te da vi si için uygun gi ri şim ala nı sağ lar lar. Se fa lik ven ok lüz yo nun da ise bra ki o ba zi lik ven yü ze yel leş tir me si (BBVY) ve pros te tik greft (PG) ile AVF oluş tu rul ma sı iki al ter na tif tir. Ça lış ma mız da bu iki yön te mi kar-şı laş tır ma yı ve üs tün lük le ri ni or ta ya çı kar ma yı amaç la dık. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Ha zi ran 2006 ile Ni san 2009 ta rih le rin de AVF oluş tu rul ma sı için BBVY ve PG uy gu la nan 83 has ta ret ros pek tif ola rak de ğer len di ril di. Ol gu lar, 24 ay lık ta kip ve ri le ri ile de ğer len di ril di ler. Trom boz, açık ka lım, en fek si yon, re viz yon ve mor ta li te oran la rı yö nün den Ki Ka re tes ti kul la nı la rak kar şı laş tı rıl dı lar. B Bu ul l g gu u l la ar r: : Ol gu la rın de mog ra fik bul gu la rı ve kli nik özel lik le ri yö nün den an lam lı fark iz len me di. An cak trom boz (p= 0.021), açık ka lım (p= 0.040), en fek si yon (p= 0.001) ve re viz yon (p= 0.001) oranla rı yö nün den BBVY ya pı lan grup ta an lam lı dü zey de üs tün lük el de edil di. Mor ta li te açı sın dan anlam lı fark iz len me di (p= 0.46). S So o n nu uç ç: : BBVY yön te mi se fa lik ven ok lüz yon la rın da uzun sü re açık ka lım ora nı ve dü şük en fek si yon dü ze yi ile AVF oluş tu rul ma sı için et ki li, gü ven li ve ön ce lik li bir yön tem dir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Böbrek diyalizi; arteriyovenöz fistül; arteriyovenöz şant A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : Simp le ar te ri o ve no us fis tu las cre a ted with cep ha lic ve in pro vi de go od vascu lar ac cess for he mo di aly sis. Brac hi o ba si lic ve in trans po si ti on (BBVT) and prost he tic graft (PG) are two al ter na ti ve met hods for vas cu lar ac cess if cep ha lic ve in occ lu si on ha ve oc cu red. In this study we ai med to com pa red the se two met hods and de ter mi ne the ad van ta ges of the pro ce du re. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : From Ju ne 2006 to Ap ril 2009, 83 pa ti ents who had un der go ne BBVT and PG pro ce du res we re analy zed ret ros pec ti vely. The ca ses we re eva lu a ted with their fol low up da ta of 24 mont hs. Trom bo sis, pa tency, in fec ti on, re vi si on and in fec ti on ra tes we re de ter mi ned with Chi Squ a re and Fisc her's Exact tests. R Re e s su ul lt ts s: : No sig ni fi ci ant dif fe ren ce was de ter mi ned between the groups for de mog rap hic d...

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“…Dagher et al (10) reported the first series of BVT in 1976. Since that time, multiple studies have reported a wide range of long-term patency results for BVT (4,6,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). Gormus et al (25) have shown no significant differences between forearm and upper arm BVT.…”

Section: Discussionmentioning

confidence: 99%

“…Gormus et al (25) have shown no significant differences between forearm and upper arm BVT. Literature regarding CVT is sparse (17). Other techniques using the brachial vein (26) or translocated femoral vein (27) have been reported, with acceptable results.…”

Section: Discussionmentioning

confidence: 99%