A randomized multicenter study of the outcome of brachial-basilic arteriovenous fistula and prosthetic brachial-antecubital forearm loop as vascular access for hemodialysis

Keuter, Xavier H. A.; Smet, A.A.E.A. de; Kessels, Alfons G.H.; Sande, Frank M. van der; Welten, R.J.Th.J.; Tordoir, Jan H.M.

doi:10.1016/j.jvs.2007.09.063

Cited by 124 publications

(104 citation statements)

References 35 publications

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“…Basilic vein transpositions (BVT), radio-basilic and brachio-brachial vein synthetic or biological bridge graft interposition are some of the other surgical vascular access procedures. BVT does not require a graft and has satisfactory outcome, however this technique is a bit challenging surgical procedure compared with graft interposition surgery and needs larger incision on the arm and longer time for maturation (4,5). Interpositioning of a bridge graft between upper arm artery and basilic/brachial veins is the other method which was performed either with synthetic or biological grafts.…”

Section: Discussionmentioning

confidence: 99%

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Long-term patency of autogenous saphenous veins vs. PTFE interposition graft for prosthetic hemodialysis access

Uzun¹,

Diken²,

Yalçınkaya³

et al. 2014

Anadolu Kardiyol Derg

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Objective: Prosthetic vascular access is the other choice when the superficial venous system is inadequate to perform a simple radio-cephalic and brachio-cephalic fistula. Methods: This paper reports the outcomes of a prospective cohort study of 54 patients who underwent either saphenous vein (SVI Group, n=29) or PTFE graft (PTFE Group, n=25) interposition surgery for prosthetic hemodialysis access. All patients were evaluated via color Doppler ultrasonography during preoperative course and superficial venous systems of these patients were found inadequate to perform simple radial/ brachial artery-cephalic vein anastomosis. Follow-up was performed for every 6-months period. Kaplan-Meier analysis and Log Rank test was used for estimation and comparison of the patency. Results: In SVI group access failure was observed in 5 of 29 patients (17.2%). In PTFE group, access failure was observed in 13 of the 25 patients (52%). Primary patency rate was 93% in 12 th month and 82% in 24 th month in SVI group while it was 88% in 12 th month and 56% in 24 th month in PTFE group. According to the Kaplan-Meier method, mean time of primary patency was significantly higher in SVI group when compared to PTFE group (33.03±1.32 months vs. 28.16±1.91 months, Log Rank chi-square value: 7.01, df:1, p=0.008). Secondary patency rate was 96% in 12 th month and 93% in 24 th month for SVI group while 96% in 12 th month and 84% in 24 th month for PTFE group. According to the Kaplan-Meier method, mean time of secondary patency was significantly higher in SVI group when compared to PTFE group (34.27±0.95 months vs. 31.16±1.40 months, Log Rank chi-square value: 7.33, df:1, p=0.007). Conclusion: Autologous saphenous vein can be preferably chosen as a prosthetic hemodialysis access graft due its higher primary and secondary patency, lower complication rate and cost when compared with PTFE grafts. (Anadolu Kardiyol Derg 2014; 14: 542-6)

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Section: Discussionmentioning

confidence: 99%

“…Therefore, basilic vein should be transposed superficially for easy access during the hemodialysis. This technique requires a large incision on the arm (3,4). An arterio-venous bridge graft by native and/or prosthetic graft is another alternative.…”

Section: Introductionmentioning

confidence: 99%

Long-term patency of autogenous saphenous veins vs. PTFE interposition graft for prosthetic hemodialysis access

Uzun¹,

Diken²,

Yalçınkaya³

et al. 2014

Anadolu Kardiyol Derg

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“…[8][9][10] Arteriovenous fistulas have the superior primary patency rates, the lowest rates of thrombosis, and require the fewest secondary interventions. 6,[11][12][13] arteriovenous fistulas generally provide longer hemodialysis access survival rates. [13][14][15][16] The total number of interventions during the life of the access is considerably lower for arteriovenous fistulas compared with arteriovenous grafts.…”

Section: Introductionmentioning

confidence: 99%

“…6,[11][12][13] arteriovenous fistulas generally provide longer hemodialysis access survival rates. [13][14][15][16] The total number of interventions during the life of the access is considerably lower for arteriovenous fistulas compared with arteriovenous grafts. 6,11,15 Although a variety of different anatomic types of arteriovenous fistula can be created, most arteriovenous fistulas fall within three basic types: Radiocephalic, which are the radial artery and the cephalic vein, Brachial-cephalic, which is the brachial artery and the cephalic vein Brachial-basilic, which is the brachial artery and the basilic vein.…”

Section: Introductionmentioning

confidence: 99%

Comparative analysis of radiocephalic versus brachiocephalic native arteriovenous fistula for hemodialysis in end stage renal disease

et al. 2016

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Background: Chronic kidney disease (CKD) is a long term condition caused by damage to both kidneys. The benefits of arteriovenous fistulas over other forms of chronic access are: Arteriovenous fistulas are associated with decreased morbidity and mortality among hemodialysis patients compared with arteriovenous grafts and central venous catheters. Objectives of the study were o choose the proper sites for formation of arteriovenous fistula, to find out the success rate at various sites and to study the complications of arteriovenous fistula.Methods: This prospective study was carried out on total 150 patients over the duration of two years. The fistulae were created using radial artery and cephalic vein side to side (Radiocephalic AVF) and brachial artery and cephalic vein side to side anastomosis (Brachiocephalic AVF). Doppler studies were done before and after every procedure to demonstrate the velocity, volume of blood flow, depth from the skin, diameter of vessels and to access the time of maturation of AVF. Patients were followed up to first dialysis by AVF to assess the overall outcomes and various complications.Results: Brachiocephalic AVF matured earlier than Radiocephalic AVF (mean maturation time Brachiocephalic 38.02 days and Radiocephalic 43.26 days) which was statistically significant. Brachiocephalic AVF matured earlier than Radiocephalic AVF with more flow rate. Complication rate was more at wrist (Radiocephalic AVF with 66.67% of overall complication) than at elbow (Brachiocephalic AVF with 33.33% of overall complication).Conclusions: We concluded that the Brachiocephalic AVF maturation time was significantly less than the maturation time of Radiocephalic AVF and rate of complication was less in Brachiocephalic AVF. The utility of pre-operative colour Doppler to select the vessels for AVF creation was found to be as an essential parameter of pre-operative work up.

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“…Finally, because these veins have already dilated and their walls are thickened, they can be cannulated for dialysis use after conversion to a secondary fistula with no or minimal delay (27). In a similar multicenter study comparing brachialbasilic AVF and a forearm loop graft in patients with failed access or inadequate vessels (30), no difference in access survival was noted, although primary and assisted primary patency in the brachial-basilic fistulae was better.…”

Section: Suboptimal or Inadequate Forearm Vessels Or Failed Accessmentioning

confidence: 99%

Interventional Nephrology

Urbanes¹

2013

Clinical Journal of the American Society of Nephrology

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SummaryThe patient's vascular access is critical in ensuring that hemodialysis is successful, effective, relatively uncomplicated, and consistently reproducible from one treatment to another. The choice of vascular access is dictated by a multitude of factors, some of which are generalizable to a larger system, and others of which are flavored by local experience and expertise; an important fraction is specific to the patient presenting to the clinician at a particular point in time. Some of these factors, such as patient age and sex, are not modifiable; others, like comorbidity, vessel size and urgency of presentation to the renal provider, are manageable and sometimes modifiable. The role of the autologous arteriovenous fistula as the ideal conduit for hemodialysis treatments is well established. The role of the prosthetic graft warrants discussion and investigation to most optimally apply to patients this important alternative within the armamentarium of vascular access.

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A randomized multicenter study of the outcome of brachial-basilic arteriovenous fistula and prosthetic brachial-antecubital forearm loop as vascular access for hemodialysis

Cited by 124 publications

References 35 publications

Long-term patency of autogenous saphenous veins vs. PTFE interposition graft for prosthetic hemodialysis access

Long-term patency of autogenous saphenous veins vs. PTFE interposition graft for prosthetic hemodialysis access

Comparative analysis of radiocephalic versus brachiocephalic native arteriovenous fistula for hemodialysis in end stage renal disease

Interventional Nephrology

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