The outcome of the proximal radial artery arteriovenous fistula

Wu, Cong; Hua, Jiang; Cheng, Jun; Zhao, Lincheng; Sheng, Kai; Chen, Jiang Hua

doi:10.1016/j.jvs.2014.08.112

Cited by 39 publications

(44 citation statements)

References 37 publications

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“…As we have already pointed out, risk of steal syndrome is higher in the AVFs that originate from brachial artery when compared to AVFs that originate from radial artery. With the aim of avoiding the complications, proximal radial artery was used as the inflow artery by various authors (14,15). The major disadvantage of radiocephalic AVFs is the lower blood flow rate (1).…”

Section: Discussionmentioning

confidence: 99%

“…However, it was subsequently performed by different techniques by many authors (9)(10)(11)(12)(13). Especially with the aim of avoiding the complications such as steal syndrome, proximal radial artery was used by many surgeons (14,15). In this study, we aimed to report the results of the AVFs that were performed with radiobasilic transposition arteriovenous fistula (RBAVF) technique that originated from the proximal radial artery.…”

Section: Introductionmentioning

confidence: 99%

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The Radiobasilic Transposition on the Upper Arm

Karaca¹,

Sungur²,

Koç³

2017

Anadolu Kliniği Tıp Bilimleri Dergisi

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Aim: The ideal vascular access for hemodialysis is through autologous arteriovenous fistulas that are from the distal to the proximal in the upper extremity. Using the brachial artery as the inflow artery increases the risk of developing complications, especially steal syndrome. In this study we aimed to explain the results of the arteriovenous fistulas that we performed with the technique of radiobasilic vein transposition that originated from the radial artery in the upper arm. Materials and Methods: Forty patients who had undergone radio-basilic transposition arteriovenous fistula operation between January 2009 and December 2012 were included in this retrospectively study. The recorded postoperative complications included steal syndrome, venous hypertension, and aneurysm. Results: In the follow-up period three patients developed aneurism. Steal syndrome and venous hypertension were observed in none of the patients. The mean follow-up duration was 28.99±1.57 months. The one-year and two-year primary (and secondary) patency rates were 76.6% and 49.5% (and 81.4% and 55.6%), respectively. Discussion and Conclusion: Steal syndrome is more frequently observed in arteriovenous fistulas that originate from brachial artery than from radial artery. Many researchers used the proximal radial artery as the inflow artery in order to avoid complications. We conclude that basilic vein transposition is safer against steal syndrome especially when performed as radiobasilic transposition arteriovenous fistula, and that the patency rates are coherent with the literature. However, we believe that comparative studies are needed. Keywords: Arteriovenous fistula; hemodialysis; basilic vein transposition Öz Amaç: Hemodiyaliz için ideal giriş yolu üst ekstremitede distalden proksimale doğru olan otolog arteryovenöz fistüllerdir. Brakiyal arteri giriş arteri olarak kullanmak, özellikle steal sendromu olmak üzere komplikasyon riskini attırır. Bu çalışmada üst ekstremitede radyal arterden orijin alan radyobazilik ven transpozisyonu tekniği ile yaptığımız arteryovenöz fistüllerin sonuçlarını açıklamayı amaçladık.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Radiobasilic Transposition on the Upper Arm

Karaca¹,

Sungur²,

Koç³

2017

Anadolu Kliniği Tıp Bilimleri Dergisi

View full text Add to dashboard Cite

show abstract

“…Furthermore, our approach although not equivalent, is comparable to the next available autogenous options using the proximal radial artery. In a recent meta‐analysis of studies describing the proximal radial artery arteriovenous fistula, primary patency and secondary rates were 73.6%, 70.5%, and 80%, 73.7% after 1 and 2 years, respectively …”

Section: Discussionmentioning

confidence: 99%

“…However, plenty of intermediate options exist even before embarking on the brachial artery cephalic vein (at elbow level) fistula, including proximal RCF options described by Toledo‐Pereyra et al, Gracz et al, and Bonforte et al Ulnar‐basilic fistula serves as another autogenous vascular access option with acceptable unassisted survival rates . In a recent systematic review, proximal radial RCFs was found safe and reliable although has not gained popularity and it is not in the NKF/DOQI preference list for vascular access . Thus, one might argue for trying to create one of the above options instead of a SG.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent metaanalysis of studies describing the proximal radial artery arteriovenous fistula, primary patency and secondary rates were 73.6%, 70.5%, and 80%, 73.7% after 1 and 2 years, respectively. 28 According to the NKF/DOQI, both BVTF and forearm AVGs have the same order of preference for vascular access after failure of distal RCFs. However, plenty of intermediate options exist even before embarking on the brachial artery cephalic vein (at elbow level) fistula, including proximal RCF options described by Toledo-Pereyra et al, 13 Gracz et al, 14 and Bonforte et al 15,16 Ulnar-basilic fistula serves as another autogenous vascular access option with acceptable unassisted survival rates.…”

Section: Discussionmentioning

confidence: 99%

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