Long-term results for basilic vein superficialization or transposition for hemodialysis access

Abstract

Objectives: This study presents our long-term follow-up results of patients undergoing basilic vein superficialization and basilic vein transposition. Patients and methods: Medical records of a total of 71 patients (32 males, 39 females; mean age 56.7 years, range, 31 to 76 years) undergoing brachiobasilic arteriovenous fistula surgery for hemodialysis access between January 2010 and March 2019 were retrospectively analyzed. The patients were divided into two groups according to the type of access procedure as the basilic vein superficialization group (n=42) and basilic vein transposition group (n=29). The primary and secondary patency rates were evaluated. Results: The mean follow-up was 18.8 months. In the early postoperative period, bleeding or hematoma developed in 13, extremity edema in 11, and superficial wound site infection in four patients. Surgical methods were applied to six of 11 patients who developed fistula thrombosis during follow-up, while interventional methods were applied to five patients. Primary and secondary patency rates were 86% and 90%, respectively in the superficialization group and 76% and 90%, respectively in the transposition group. There was no statistically significant difference in the patency rates or postoperative complications between the groups. Conclusion: Owing to their low complication and high patency rates, both basilic vein superficialization and basilic vein transposition can be safely employed in patients in whom arteriovenous fistula cannot be established with the cephalic vein.

Incidência de estenoses hemodinamicamente significativas em diversos tipos de acessos para hemodiálise- estudo prospectivo / Incidence of hemodynamically significant stenoses in several types of hemodialysis accesses- a prospective study

“…Ergene et al (2020), presented in their study that 63.6% of the stenoses found occurred in the basilic vein superficialization technique. [4] Conclusion: Brachiobasilic arteriovenous fistulas with basilic vein superficialization have a higher incidence of hemodynamically significant stenoses when compared to other surgical modalities. Keywords: Arteriovenous Fistula; Renal Failure; Vascular Surgical Procedures.…”

“…Ergene et al (2020), apresentou em seu estudo que 63,6% das estenoses encontradas ocorreram na técnica de superficialização da veia basílica. [4] Conclusão: As fístulas arteriovenosas braquiobasílicas com superficialização da veia basílica apresentam maior incidência de estenoses hemodinamicamente significativas quando comparadas a outras modalidades cirúrgicas.…”