A ten-year experience of Brescia-Cimino arteriovenous fistula in children: Technical evolution and refinements

Bagolan, Pietro; Spagnoli, A; Ciprandi, G; Picca, Stefano; Leozappa, Giovanna; Nahom, A.; Trucchi, Alessandro; Rizzoni, Gianfranco; Fabbrini, Giorgio

doi:10.1016/s0741-5214(98)70228-9

Cited by 71 publications

(65 citation statements)

References 6 publications

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“…11,12 Despite the described advantages of this technique, mainly the avoidance of arterial spasm, minimal hemostasis, safer dissection of the main vessels, and the absence of clamping, we are not accustomed to using such devices. Therefore, we preferred to dissect the vessels with minimal trauma and ligate all the small collateral branches.…”

Section: Discussionmentioning

confidence: 99%

Experience With Arteriovenous Fistulas for Chronic Hemodialysis in Children: Technical Details and Refinements

Tannuri

2005

Clinics

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PURPOSE:The aim of this paper is to report our experience in the creation of arteriovenous fistulas in children by using microsurgical vascular techniques, with emphasis on the details of the surgical technique.METHODS: The children underwent surgery from July 1997 to March 2004. Operating loupes (magnification: 3.5X) were used by the entire surgical team. After dissection and adequate mobilization, the vein was anastomosed to the artery in an end-to-lateral fashion by using 4 separate 7/0 or 8/0 prolene running sutures.RESULTS: Twenty nine children underwent 33 fistula creations -21 radiocephalic, 6 brachiocephalic, 4 brachiobasilic, and 2 saphenofemoral. Primary patency was achieved in 17/21 (80.9%) of the radiocephalic fistulas, 5/6(83.3%) of the brachiocephalic, 3/4 (75.0%) of the brachiobasilic, and 2/2 (100%) of saphenofemoral. Two patients developed fistula occlusion and radial artery thrombosis, and in 2 others, radiocephalic fistulas became occluded in the first or second postoperative week. In the late postoperative period, the saphenofemoral fistulas were responsible for significant edema formation in the lower extremity; an aneurysm formed in a brachiocephalic fistula after a long period of utilization. As to the patency of the different sites of fistulas, the brachiocephalic and brachiobasilic fistulas had the same incidence of patency as the radiocephalic fistulas (P >.05).CONCLUSIONS: This experience indicates that the arteriovenous fistulas are a satisfactory method for providing hemodialysis in children. The utilization of microsurgical techniques and some technical refinements herein described permit the attainment of high patency rates of the fistulas.

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Section: Discussionmentioning

confidence: 99%

Experience With Arteriovenous Fistulas for Chronic Hemodialysis in Children: Technical Details and Refinements

Tannuri

2005

Clinics

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“…13 The BresciaCimino fistula provided vascular access with a longterm patency rate and a low incidence of complications. 14 Wander et al reported on the first successful creation of AVFs in children in 1970. 15 In 1973, Broyer et al reported 54% success in creating distal fistulae in children who weighed less than 20 kg.…”

Section: Resultsmentioning

confidence: 99%

“…6 In 2003, Bourquelot et al 9 stated that the benefits of microsurgery in children were reported by Yazbeck and O'Regan in 1984, 21 Sanabia et al in 1993, 22 and Bagolan et al in 1998. 14 Bourquelot et al further stated that ''microsurgery is mandatory for creation of AVFs, the best form of angioaccess for children treated by hemodialysis or requiring repeated access to blood in various non-renal diseases.'' 9 Tannuri and Tannuri also espoused the benefits of microsurgical techniques in creating AVFs for hemodialysis in children.…”

Section: Resultsmentioning

confidence: 99%

“…8 Bagolan et al stated that microsurgery and upper-arm exsanguination, by means of a tourniquet, are the most important steps in creating AVFs in children. 14 Tannuri and Tannuri used microsurgical techniques in creating AVFs, but did not use the upper-arm ischemia technique with an inflatable tourniquet. 11 The lament of many involved in ESRD patient care is that the patients are very sick, and along with uremia and any other comorbities, another common problem involves dealing with patients who have lost precious vascular capital due to previous procedures.…”

Section: Resultsmentioning

confidence: 99%

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Review of microsurgery and arteriovenous fistulae for hemodialysis

Dorsett‐Martin

2006

Microsurgery

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Patient comorbities, a patient's age and weight, the experience of the surgeon, and state of current vascular access are all factors used in determining the employment of microsurgical techniques to create or salvage an arteriovenous fistula (AVF) for hemodialysis. The aim of this study was to provide an overview of the literature concerning the use of microsurgery for AVFs as the permanent vascular access for both adults and children with end-stage renal disease (ESRD). The patient's overall state of health and long-term survival are always prime considerations in any medical management situation, and any technique that can make these goals more easily attainable by more patients is to be highly valued. Microsurgery for the establishment and repair of AVFs is another useful tool which is available if needed, depending on the unique needs of the patient, to aid the medical community in providing the best possible healthcare.

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“…Shortly after that, Brescia and Cimino first described the AVF, which is the longest lasting hemodialysis access method used to date (Bagolan et al, 1998). Three types of hemodialysis access methods have been recommended by the NFK/KDOQI (2006), including autogenous AVF, a prosthetic vascular graft, and a central venous catheter.…”

Section: Discussionmentioning

confidence: 99%

Autogenous radiocephalic hemodialysis access in patients with small caliber cephalic veins after expansion with a Fogarty catheter

Fan

Liu

et al. 2014

Genet. Mol. Res.

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ABSTRACT. Autogenous arteriovenous fistula (AVF) is the first choice for hemodialysis access in renal failure with uremia. However, AVF cannot be performed in some patients due to small and narrow veins in the forearm. In this study, a Fogarty catheter was used to establish autogenous radiocephalic hemodialysis access in patients with small caliber cephalic veins, and the patency rate and complications of this method were observed. Sixty-seven patients with uremia were divided into a treatment group (40 cases, caliber of cephalic veins <2.5 mm) and a control group (27 cases, caliber of cephalic veins ≥2.5 mm). According to ultrasound results, the treatment group received AVF after expansion with a Fogarty catheter, and the control group received traditional AVF. The fistula patency rate and complications were observed during follow-up. All patients were followed up for an average period of 18 months (range = 3-36 months). AVF was successfully used in 58 patients for hemodialysis, with primary access failure in 9 cases (5 cases in the treatment group and 4 cases in the control group) due to (2014) early thrombosis. The primary and secondary patency rates 12 months after surgery in the treatment group were 64 and 72%, respectively, and those in the control group were 60 and 76%, respectively. Patients with small caliber cephalic veins can be treated with radiocephalic fistula after the caliber of cephalic veins is expanded to more than 2.5 mm with a Fogarty catheter. The long-term patency rate awaits observation in a longer follow-up period.

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A ten-year experience of Brescia-Cimino arteriovenous fistula in children: Technical evolution and refinements

Cited by 71 publications

References 6 publications

Experience With Arteriovenous Fistulas for Chronic Hemodialysis in Children: Technical Details and Refinements

Experience With Arteriovenous Fistulas for Chronic Hemodialysis in Children: Technical Details and Refinements

Review of microsurgery and arteriovenous fistulae for hemodialysis

Autogenous radiocephalic hemodialysis access in patients with small caliber cephalic veins after expansion with a Fogarty catheter

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