The brachio-brachial arteriovenous fistula: a new method in patients without a superficial venous system in the upper limb

Dorobantu, Lucian; Ştiru, Ovidiu; Iliescu, Vlad Anton; Novelli, Eugenio

doi:10.1177/112972980600700209

Cited by 28 publications

(21 citation statements)

References 4 publications

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“…8 Previous reports have described successful AVF-Ts using not only the basilic vein for access but also the brachial vein, forearm, and thigh veins. [20][21][22][23][24][25][26][27] Staged AVF-Ts have previously been described. 5,28 Hill et al 29 found AVF-Ts using basilic veins Ͼ4 mm in diameter had a higher success rate than AVF-Ts using smaller veins.…”

Section: Discussionmentioning

confidence: 99%

Primary and staged transposition arteriovenous fistulas

Arroyo

Sideman

Spergel

et al. 2008

Journal of Vascular Surgery

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Both primary and staged AVF-T procedures were successfully used in patients with difficult access extremities. AVF-Ts were durable, although many required an interventional procedure for maturation or maintenance. Cumulative (secondary) patency was 96.0% at 12 months and 88.9% at 24 months. The absence of an adequate basilic vein does not preclude the use of a staged AVF-T because the brachial vein offers a suitable alternative.

show abstract

Section: Discussionmentioning

confidence: 99%

Primary and staged transposition arteriovenous fistulas

Arroyo

Sideman

Spergel

et al. 2008

Journal of Vascular Surgery

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show abstract

“…Twelve articles were identified and fulfilled the inclusion criteria. 2,[4][5][6][7][8][9][10][11][12][13][14] According to our analysis, results presented a great fluctuation in heterogeneity and patency rates. Overall, 380 BVT-AVF were performed.…”

Section: Resultsmentioning

confidence: 99%

Brachial Artery–Brachial Vein Fistula for Hemodialysis: One- or Two-Stage Procedure—A Review

Kotsis¹,

Moulakakis²,

Mylonas³

et al. 2015

Int J Angiol

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Arteriovenous fistulas (AVFs) consist of the preferable choice for patients needing hemodialysis. They have lower morbidity, mortality rates, and cost compared with grafts or catheters. Brachial vein transposition BVT-AVF is an alternative native option for creating an AVF. Brachial vein superficialization was first reported by Paul G. Koontz and Thomas S. Helling in 1983.1 The method was conceived for patients with chronic renal failure (CRF) lacking adequate superficial veins for fistulas, mostly for individuals who have already undergone a large number of access operations. Brachial vein transposition AVF can be performed as one-or two-stage procedure; both methods have advantages and disadvantages. We collected and reviewed all published data concerning transposition and superficialization of the brachial vein as an AbstractPurpose The purpose of the study was to investigate the patency rate of the brachial vein transposition-arteriovenous fistula [BVT-AVF] and to review the available literature regarding the comparison of the one-stage with the two-stage procedure. Methods A multiple electronic health database search was performed, aiming to identify studies on brachial vein superficialization. Case reports and series with five or less patients were excluded from the study. End points of the study were the patency rates at 12, 24, and 36 months of follow-up. The patency of the one-or two-stage BVT-AVF procedure was investigated. Results Overall, 380 BVT-AVFs were analyzed. The primary patency rate at 12 months ranged between 24 and 77%. Rate of early fistula malfunction or failure of maturation of the fistula resulting in loss of functionality ranged from 0 to 53%. Forearm edema, hematomas, wound infection, and early thrombosis were among the most common complications. Limited data were available for the comparison of patency rates between the one-and the two-stage procedure because of the absence of sufficient comparative studies. However, series with one-stage procedure presented a lower patency rate at 12 months compared to series with two stages. Conclusion Patency rates after BVT-AVF, although not excellent, has encouraging results taking into account that patients undergoing these procedures do not have an accessible superficial vein network; failure of maturation and the increased rate of early postoperative complications remain a concern. The BVT-AVF is a valuable option for creating an autologous vascular access in patients lacking adequate superficial veins.

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“…Literature regarding CVT is sparse (17). Other techniques using the brachial vein (26) or translocated femoral vein (27) have been reported, with acceptable results. However, due to extensive dissection and morbidity, these procedures have not become popular.…”

Section: Discussionmentioning

confidence: 99%

Selective two-stage basilic and cephalic vein transpositions can significantly improve the rate of fistula construction

Hashemi¹,

Sheridan²,

Ford³

2009

Int J Angiol

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The brachio-brachial arteriovenous fistula: a new method in patients without a superficial venous system in the upper limb

Abstract: The brachio-brachial fistula can represent a viable choice in patients with an inadequate superficial venous system in the upper limb.

Cited by 28 publications

References 4 publications

Primary and staged transposition arteriovenous fistulas

Primary and staged transposition arteriovenous fistulas

Brachial Artery–Brachial Vein Fistula for Hemodialysis: One- or Two-Stage Procedure—A Review

Selective two-stage basilic and cephalic vein transpositions can significantly improve the rate of fistula construction

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