A modified nontransposed brachiobasilic arteriovenous fistula versus brachiocephalic arteriovenous fistula for maintenance hemodialysis access

D, Hu; Li, Changbin; Sun, Liping; Zhou, Chunyu; Li, Xinhua; Ai, Zisheng; Tang, Jie; Peng, Ai

doi:10.1016/j.jvs.2016.03.450

Cited by 3 publications

(1 citation statement)

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“…Autogenous AVFs are the most preferred vascular access for this purpose [7]. They are preferred more frequently than nonautogenous grafts and central catheters due to their high long-term patency rates and lower risk of thrombosis and infection [8,9]. According to the National Kidney Foundation -Dialysis Outcomes Quality Initiative (NKF-DOQI) and the Society for Vascular Surgery's 2008 Clinical Practice Guidelines, the order of preference is distal radiocephalic, elbow BCAVF, and BVTAVF [10,11].…”

Section: Discussionmentioning

confidence: 99%

Proximal Arteriovenous Fistulas in Hemodialysis Patients: Advantages and Disadvantages

Güven

Uludağ

2020

Cureus

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Introduction: The main objective of the present study is to investigate the advantages and disadvantages of proximal arteriovenous native fistulas. Hemodialysis is indispensable for patients with end-stage renal disease. For this purpose, arteriovenous fistulas (AVFs) are used. Among the native fistulas, distal radiocephalic AVF is the most preferred. However, brachiocephalic AVF (BCAVF) and brachiobasilic AVF with basilic vein transposition (basilic vein transposition arteriovenous fistula [BVTAVF]) can be used for a long time in dialysis patients whose distal vascular bed is depleted. Methods: This is a retrospective study of 117 AVFs (BCAVF and BVTAVF), in patients with end-stage chronic renal disease, that were opened with a surgical technique (2012-2018). The postoperative two-year patency rates, AVF locations, complications, and the advantages and disadvantages of these fistulas are reviewed and recorded in the light of the literature. Results: The mean age of the patients (52 men and 65 women) was 60.6 ± 13.6 years. The percentages of primary patency rates at 3, 6, 9, 12, and 24 months were 96.6%, 93.1%, 92%, 87.4%, and 82.8% in BCAVF patients, and 96.7%, 93.3%, 90%, 86.7%, and 80% in BVTAVF patients, respectively. The percentages of secondary patency rates at 6, 12, and 24 months were 100%, 93.3%, and 86.7% in BCAVF patients, and 100%, 100% and 87.7% in BVTAVF patients, respectively. Fistula thrombosis was seen as the most common complication. The early complication was bleeding/hematoma. As late complications, we encountered steal syndrome, ischemic pain in the relevant extremity, pseudoaneurysm, and high-output heart failure. Conclusion: Proximal AVFs are preferable fistulas with early maturation and high primary patency rates. We believe that relatively high complications can be avoided by opening fistulas with an appropriate surgical technique.

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Section: Discussionmentioning

confidence: 99%

Proximal Arteriovenous Fistulas in Hemodialysis Patients: Advantages and Disadvantages

Güven

Uludağ

2020

Cureus

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Histopathological and proteomic analyses identify integrin-β1 as a potential mediator of phlebosclerosis in uremic patients

Zhou

Wang

et al. 2019

Clin Exp Nephrol

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Single-Staged arm basilic vein transposition for arteriovenous fistula surgery - clinical pearls and outcomes

Baliga

2020

Indian J Vasc Endovasc Surg

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A modified nontransposed brachiobasilic arteriovenous fistula versus brachiocephalic arteriovenous fistula for maintenance hemodialysis access

Abstract: mNT-BBAVF appeared to be an effective alternative to BCAVF for upper arm hemodialysis access.

Cited by 3 publications

References 28 publications

Proximal Arteriovenous Fistulas in Hemodialysis Patients: Advantages and Disadvantages

Proximal Arteriovenous Fistulas in Hemodialysis Patients: Advantages and Disadvantages

Histopathological and proteomic analyses identify integrin-β1 as a potential mediator of phlebosclerosis in uremic patients

Single-Staged arm basilic vein transposition for arteriovenous fistula surgery - clinical pearls and outcomes

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