Venae Comitantes as a Potential Vascular Resource to Create Native Arteriovenous Fistulae

Morale, Walter; Patanè, Domenico; Incardona, C; Seminara, Giuseppe; Messina, Martina; Malfa, Pierantonio; L'Anfusa, Giuseppe; D’Arrigo, Giuseppe; Spanti, D; Mandalà, Maria L.; Landro, Domenico Di

doi:10.5301/jva.2010.5969

Cited by 7 publications

(9 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results are similar to those reported by other authors. 7,8,[18][19][20] Anatomy. Deep brachial veins (venae comitantes) are traditionally described as deep, fragile, small-caliber, and paired satellite veins of the brachial artery from the elbow to the axilla, interconnected by many collaterals.…”

Section: Discussionmentioning

confidence: 99%

“…This technique is quicker and simpler and may be useful when the dissected brachial vein is too short for tunnelization or when a previous upper arm angioaccess is difficult to dissect free. 20 From our personal experience, the elevated vein may move down under the scar, making cannulation and subsequent healing difficult, especially in the case of hypertrophic scarring.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Brachial vein transposition is a promising ultimate upper limb autologous arteriovenous angioaccess despite its many pitfalls

Karam

Rawa²,

Shoenfeld³

et al. 2018

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Brachial vein transposition is a promising ultimate upper limb autologous arteriovenous angioaccess despite its many pitfalls

Karam

Rawa²,

Shoenfeld³

et al. 2018

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…Furthermore, diabetes mellitus and hypertension, which were present in most subjects in our cohort, could contribute to poorer surgical wound healing. When comparing with previous studies, we noticed that larger cohorts were associated with better outcomes . Therefore, we feel that with experience, we would be able to improve our outcomes.…”

Section: Discussionmentioning

confidence: 63%

“…When comparing with previous studies, we noticed that larger cohorts were associated with better outcomes. 11,12 Therefore, we feel that with experience, we would be able to improve our outcomes.…”

Section: Discussionmentioning

confidence: 99%

Our experience in using the brachial venae comitantes as a native vascular access for hemodialysis

Sha

Luk

Tee

et al. 2015

Hemodialysis International

View full text Add to dashboard Cite

A native arteriovenous fistula is the preferred vascular access for patients on long-term hemodialysis. In the absence of suitable superficial veins, the deep venous system can be used. We intend to present our experience in using the brachial venae comitantes (VC) to create a native arteriovenous fistula. From January 2012 to December 2014, we utilized the brachial vena comitantes to create 12 arteriovenous fistulae. Data from these 12 subjects were analyzed retrospectively to produce this case series. The average age of our subjects was 55.6 years. Forty-two percent of the subjects were women. Fifty percent of the subjects had diabetes mellitus and 58% had hypertension. We achieved a functional patency rate of 58% at 1 month's follow up after maturation. The brachio-brachial vena comitans fistula is a safe and plausible option in patients with no other suitable veins for a native fistula, more so in the hands of experienced surgeons. The longer time to cannulation has to be taken into consideration when creating a VC fistula. In suitable patients with end-stage renal disease, it can delay the use of an arteriovenous graft or a tunneled central venous catheter.

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

View full text Add to dashboard Cite

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.

show abstract

Venae Comitantes as a Potential Vascular Resource to Create Native Arteriovenous Fistulae

Abstract: AVF employing venae comitantes may represent a suitable alternative in the absence of other vascular accesses for HD.

Cited by 7 publications

References 9 publications

Brachial vein transposition is a promising ultimate upper limb autologous arteriovenous angioaccess despite its many pitfalls

Brachial vein transposition is a promising ultimate upper limb autologous arteriovenous angioaccess despite its many pitfalls

Our experience in using the brachial venae comitantes as a native vascular access for hemodialysis

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

Contact Info

Product

Resources

About