Transposition of The Basilic Vein for Arteriovenous Fistula: An Endoscopic Approach

Martinez, Bernardo D.; LeSar, Christopher J.; Fogarty, Thomas J.; Zarins, Christopher K.; Hermann, George D.

doi:10.1016/s1072-7515(00)00796-1

Cited by 16 publications

(12 citation statements)

References 7 publications

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“…Review of the literature revealed that the rate of haematoma was 3.6–11% in other studies 10,11,34. In our study, we found the rate of haematoma to be higher in group 1(17%) than in group 2 (8%).…”

Section: Discussionsupporting

confidence: 52%

Comparison of one- and two-stage basilic vein transposition for arterio-venous fistula formation in haemodialysis patients : preliminary results

Özcan¹,

Gür²,

Yener³

et al. 2013

CVJA

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Objective: This study aimed to compare the results of oneand two-stage basilic vein transposition (BVT) in haemodialysis patients. Methods: This was a non-randomised, retrospective study between January 2007 and January 2012 on 96 patients who were diagnosed with end-stage renal failure (ESRF) (54 males, 42 females; mean age 43.6 ± 14 years) and underwent one-or two-stage BVT in our clinic. All patients who were not eligible for a native radio-cephalic or brachio-cephalic arterio-venous fistula (AVF) were scheduled for one-or twostage BVT after arterial (brachial, radial and ulnar) and venous (basilic and cephalic) Doppler ultrasonography.Patients were retrospectively divided into two groups: group 1, basilic vein diameter > 3 mm and patients who underwent one-stage BVT; and group 2, basilic vein diameter < 3 mm and patients who underwent two-stage BVT. In group 1, the basilic vein with a single incision was anastomosed to the brachial artery, followed by superficialisation. In group 2, the basilic vein was anastomosed to the brachial artery and they underwent the superficialisation procedure one month postoperatively. Fistula maturation and postoperative complications were assessed. Results: The mean diameter of the basilic vein was statistically significantly higher in group 1 (3.46 ± 0.2 mm) than in group 2 (2.79 ± 0.1 mm) (p < 0.05). In terms of postoperative complications, thrombosis, haemorrhage and haematoma were significantly higher in group 1 (34, 36 and 17%, respectively) than in group 2 (23, 14 and 6%, respectively) (p < 0.05). The rate of fistula maturation was significantly lower in group 1 (66%), compared to group 2 (77%) (p < 0.05). Time to fistula maturation was significantly shorter in group 1 (mean 41 ± 14 days), compared to group 2 (mean 64 ± 28 days) (p < 0.05). Conclusion: Two-stage BVT was superior to one-stage BVT due to its lower rate of postoperative complications and higher fistula maturation, despite its disadvantage of late fistula use. Although the diameter of the basilic vein was larger in patients who underwent one-stage BVT, we observed that one-stage BVT was disadvantageous in terms of postoperative complications and fistula maturation.

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Section: Discussionsupporting

confidence: 52%

Comparison of one- and two-stage basilic vein transposition for arterio-venous fistula formation in haemodialysis patients : preliminary results

Özcan¹,

Gür²,

Yener³

et al. 2013

CVJA

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“…It is inspired by the minimally invasive technique of basilic vein dissection done by videoendoscope. [ 6 ] In this technique, after creating an operative working space, the basilic vein was liberated along its length by endovein harvesting dissector, by ligating and dividing the visualized venous tributaries [ Figure 2 ]. Chemla et al .…”

Section: Conventional Basilic Vein Transposition (Bvt)mentioning

confidence: 99%

Small incision basilic vein transposition technique: A good alternative to standard method

et al. 2010

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End-stage renal disease is a significant health problem. The primary use of the autogenous arteriovenous access is recommended by NKF-DOQI (National Kidney Foundation-Dialysis Outcomes Quality Initiative) guidelines. Though basilic vein transposition is well established in multiple failed fistulae's and obese patients, it requires large incision and morbidities like edema and infection. To avoid such compilations we, at our institution, adopted a small incision technique using two small 3-4 cm incisions. This method is inspired by videoendoscopic minimally invasive method used to dissect the basilic vein, thus avoiding extensive dissection and related morbidities.

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“…To avoid a long incision along the arm, endoscopic and video-assisted mobilization of the basilic vein out of its bed have been reported. (19) It may offer fewer wound problems, less trauma to the transposed segment, and less overall inflammatory changes within the arm. 20 We used one single incision or multiple skip incisions.…”

Section: Discussionmentioning

confidence: 99%

Brachiobasilic Arteriovenous Fistula for Hemodialysis Access : Experience at King Hussein Medical Center

Shishani¹,

Zoubi²,

Masa'feh³

2016

JRMS

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Objective: To evaluate the (one, two, three) year primary and secondary patency of brachiobasilic arteriovenous fistula (BBAVF) as hemodialysis vascular access and procedure complications at King Hussein Medical Center. Methods: A retrospective single-center study, analyzing the patency of 129 BBAVF procedures for hemodialysis vascular access and associated complications. Follow up patency was assessed by adequacy of BBAVF for hemodialysis over 3 years' period. Results: (One, two, three) year primary patency was (75, 62, 47) % respectively and (one, two, three) year secondary patency was (77, 64, 50) % respectively. Failure of maturation was seen in 16 patients (12%). Hematoma developed in 5 patients (3.9%). Bleeding related to infection developed in 3 patients (2.3%). Wound infection developed in 13 patients (10.1%). Arterial steal developed in 14 patients (10.9%). Venous hypertension developed in 12 patients (9.3%). Ischemic monomelic neuropathy developed in 2 patients (1.6%). Pseudoaneurysm at puncture sites developed in 12 patients (9.3%). Thrombosis developed in 24 patients (19%). There was no procedure related mortality. Conclusion: BBAVF is an important and effective option in KHMC for chronic renal failure patients requiring hemodialysis with acceptable patency and complication rates.

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Transposition of The Basilic Vein for Arteriovenous Fistula: An Endoscopic Approach

Cited by 16 publications

References 7 publications

Comparison of one- and two-stage basilic vein transposition for arterio-venous fistula formation in haemodialysis patients : preliminary results

Comparison of one- and two-stage basilic vein transposition for arterio-venous fistula formation in haemodialysis patients : preliminary results

Small incision basilic vein transposition technique: A good alternative to standard method

Brachiobasilic Arteriovenous Fistula for Hemodialysis Access : Experience at King Hussein Medical Center

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