Basilic vein transposition performed for hemodialysis access: mid-term results

Hastaoğlu, İsmail Oral

doi:10.5606/tgkdc.dergisi.2011.079

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When the radiocephalic and brachiocephalic fistulas fail, the option for vascular access is the brachiobasilic AVF formation with vein transposition or simple elevation. 1,2 Radiocephalic and brachiocephalic fistula is the first choice for AVF operations. 3 However, access via brachiobasilic fistula has become the procedure of choice when superficial veins are unavailable.…”

Section: Discussionmentioning

confidence: 99%

Basilic Vein Elevation for Arteriovenous Fistula Creation: Results of 60 Cases Following 1 Year

Keshelava¹,

Gvalia²,

Kovziridze³

et al. 2015

Int J Angiol

View full text Add to dashboard Cite

Basilic vein elevation (BVE) is a procedure where the basilic vein (BV) is surgically exposed, mobilized, and elevated into a more superficial position for the purpose of facilitating arteriovenous fistula (AVF) cannulation. The purpose of this study is to review the use of BVE as an adjunct to fistula maturation. Between January 2009 and December 2013, 60 patients received BVE. After performing the anastomosis between brachial artery and BV, the elevated vein was placed just anterior to the surgical incision, 3 to 4 mm deep. Patients' morbidity, mortality, and patency rates were evaluated. The 90-day mortality was 0%. Maturation rates were 91.6%. The mean time to maturation was 52 days (range, 25-75 days). Primary patency rate at 12 months was 90% and secondary patency rate was 95%. The mean vein size was 4.5 ± 0.5 mm. AVF surgery via BVE offers satisfactory results in patients with chronic hemodialysis.

show abstract

Section: Discussionmentioning

confidence: 99%

Basilic Vein Elevation for Arteriovenous Fistula Creation: Results of 60 Cases Following 1 Year

Keshelava¹,

Gvalia²,

Kovziridze³

et al. 2015

Int J Angiol

View full text Add to dashboard Cite

show abstract

“…When the basilic vein transposition technique was first described, it originated from brachial artery (7,8). However, it was subsequently performed by different techniques by many authors (9)(10)(11)(12)(13). Especially with the aim of avoiding the complications such as steal syndrome, proximal radial artery was used by many surgeons (14,15).…”

Section: Introductionmentioning

confidence: 99%

The Radiobasilic Transposition on the Upper Arm

Karaca¹,

Sungur²,

Koç³

2017

Anadolu Kliniği Tıp Bilimleri Dergisi

View full text Add to dashboard Cite

Aim: The ideal vascular access for hemodialysis is through autologous arteriovenous fistulas that are from the distal to the proximal in the upper extremity. Using the brachial artery as the inflow artery increases the risk of developing complications, especially steal syndrome. In this study we aimed to explain the results of the arteriovenous fistulas that we performed with the technique of radiobasilic vein transposition that originated from the radial artery in the upper arm. Materials and Methods: Forty patients who had undergone radio-basilic transposition arteriovenous fistula operation between January 2009 and December 2012 were included in this retrospectively study. The recorded postoperative complications included steal syndrome, venous hypertension, and aneurysm. Results: In the follow-up period three patients developed aneurism. Steal syndrome and venous hypertension were observed in none of the patients. The mean follow-up duration was 28.99±1.57 months. The one-year and two-year primary (and secondary) patency rates were 76.6% and 49.5% (and 81.4% and 55.6%), respectively. Discussion and Conclusion: Steal syndrome is more frequently observed in arteriovenous fistulas that originate from brachial artery than from radial artery. Many researchers used the proximal radial artery as the inflow artery in order to avoid complications. We conclude that basilic vein transposition is safer against steal syndrome especially when performed as radiobasilic transposition arteriovenous fistula, and that the patency rates are coherent with the literature. However, we believe that comparative studies are needed. Keywords: Arteriovenous fistula; hemodialysis; basilic vein transposition Öz Amaç: Hemodiyaliz için ideal giriş yolu üst ekstremitede distalden proksimale doğru olan otolog arteryovenöz fistüllerdir. Brakiyal arteri giriş arteri olarak kullanmak, özellikle steal sendromu olmak üzere komplikasyon riskini attırır. Bu çalışmada üst ekstremitede radyal arterden orijin alan radyobazilik ven transpozisyonu tekniği ile yaptığımız arteryovenöz fistüllerin sonuçlarını açıklamayı amaçladık.

show abstract

“…Basilic vein transposition was first described in 1976 and is a reliable procedure for secondary vascular access. [2,3] Whenever the forearm vessels are not suitable for arteriovenous fistula creation or when these fistulas have failed, the options for vascular access are either the brachial-basilic arteriovenous fistula or a prosthetic graft; [4,5] however, basilic vein transposition has fewer complications and better patency rates than the grafts. [6] In this study, the superficialization of the basilic vein technique was utilized to achieve brachiobasilic arteriovenous fistula access at a single institution, and the results were then analyzed.…”

mentioning

confidence: 99%

Basilic vein superficialization for hemodialysis vascular access

Yüksel¹

2013

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Background:This study aims to discuss the outcomes of superficialization of basilic vein technique in brachiobasilic arteriovenous fistula formation and to present our experience. Methods: Between January 2006 and January 2012, 170 patients (74 males, 96 females; mean age 60.7±9.1 years; range 31 to 83 years) who underwent basilic vein superficialization surgery in our clinic were included. All patients were examined under Doppler ultrasonography preoperatively. Demographic data of the patients, maturation time and complications were recorded. The mean follow-up was 12 months. Results: Non-dominant upper limb was preferred for surgery. Of the 170 patients who were operated, 166 (97.6%) underwent hemodialysis. The mean maturation time was 61 days. Massive bleeding in the postoperative period occurred in two patients (1.2%). Wound infection was observed in eight patients (4.7%) in the early postoperative period. The most common reason for primary failure was thrombosis, which was observed in 48 patients (28.2%). The primary and secondary patency rates of the fistulas were 77% and 82%, respectively at one-year. Conclusion: Arteriovenous fistula formation through superficialization of the basilic vein offers satisfactory results in chronic hemodialysis patients with reasonable postoperative complication rate.

show abstract

Basilic vein transposition performed for hemodialysis access: mid-term results

Cited by 3 publications

References 0 publications

Basilic Vein Elevation for Arteriovenous Fistula Creation: Results of 60 Cases Following 1 Year

Basilic Vein Elevation for Arteriovenous Fistula Creation: Results of 60 Cases Following 1 Year

The Radiobasilic Transposition on the Upper Arm

Basilic vein superficialization for hemodialysis vascular access

Contact Info

Product

Resources

About