Remarks on Surgical Strategy in Creating Vascular Access for Hemodialysis: 18 Years of One Center's Experience

Kawecka, Aleksandra; Dębska-Ślizień, Alicja; Prajs, J; Król, Ewa; Zdrojewski, Zbigniew; Przekwas, Magdalena; Rutkowski, Bolesław; Lasek, Jerzy

doi:10.1007/s10016-005-5020-z

Cited by 23 publications

(17 citation statements)

References 21 publications

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“…This finding is consistent with several other recently published studies that compared the outcomes of BAPTFE and BBAVF in similar patients . They have reported 1 and 2‐year cumulative graft patency rates of 59% to 90% and 50% to 82%, respectively …”

Section: Discussionsupporting

confidence: 92%

Brachio‐basilic upper arm transposition fistulas vs. prosthetic brachio‐axillary vascular access grafts—Which one is preferred for hemodialysis?

Tayebi

Kazemzadeh

Modaghegh

et al. 2020

Hemodialysis International

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Introduction: There is still controversy on the use of brachio-basilic upper arm transposition fistula (BBAVF) and prosthetic brachio-axillary vascular access grafts (BAPTFE) in patients with no suitable cephalic veins for creating an autogenous brachio-cephalic fistula.Methods: In a randomized controlled clinical trial, 60 hemodialysis patients who were not a suitable candidate for BCAVF were randomly assigned into two groups: BBAVF and BAPTFE. The patients were clinically followed up to 1 year and the patency rate and access-related complications were compared between the two groups.Findings: Access failure rate in the BBAVF and BAPTFE groups was 30.0% and 36.6%, respectively. The primary patency time was 232.73 AE 113.36 and 261.53 AE 147.37 days, respectively (P = 0.40). Thrombosis formation and infection were the two main causes for access failure, yet indicating no significant difference between the two groups (P > 0.05).Discussion: BBAVF and BAPTFE have comparable clinical outcomes in short-term follow-up. Therefore, BAPTFE can be used as an alternative vascular access for hemodialysis in patients who are not a suitable candidate for BBAVF.

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Section: Discussionsupporting

confidence: 92%

Brachio‐basilic upper arm transposition fistulas vs. prosthetic brachio‐axillary vascular access grafts—Which one is preferred for hemodialysis?

Tayebi

Kazemzadeh

Modaghegh

et al. 2020

Hemodialysis International

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“…Initially, the creation of conduits in the elderly did not have encouraging results, but in the following years, an increasing number of series have strengthened opinion in favor of conduit formation in the elderly. 6,[8][9][10][11][12][13][14] The patients included in our study reflect the population encountered in the catchment area of our institution, resembling a higher proportion of elderly white patients and a growing younger population from ethnic minorities. This social background may help to interpret the ethnic differences in the two groups we present and also the differences in diabetes and history of HD.…”

Section: Discussionmentioning

confidence: 99%

Vascular access for hemodialysis in the elderly

Swindlehurst

Lumgair

et al. 2011

Journal of Vascular Surgery

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“…Reported long term cumulative patency rates are in the range of 54-90%, 38-82% and 43-57% at 1, 2 and 3 years respectively. [9] The reported complication rate for BVT remains high at 47-71%. [10] One year follow-up results and complications in our study matched these figures.…”

Section: Discussionmentioning

confidence: 99%

Small incision basilic vein transposition technique: A good alternative to standard method

et al. 2010

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End-stage renal disease is a significant health problem. The primary use of the autogenous arteriovenous access is recommended by NKF-DOQI (National Kidney Foundation-Dialysis Outcomes Quality Initiative) guidelines. Though basilic vein transposition is well established in multiple failed fistulae's and obese patients, it requires large incision and morbidities like edema and infection. To avoid such compilations we, at our institution, adopted a small incision technique using two small 3-4 cm incisions. This method is inspired by videoendoscopic minimally invasive method used to dissect the basilic vein, thus avoiding extensive dissection and related morbidities.

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Remarks on Surgical Strategy in Creating Vascular Access for Hemodialysis: 18 Years of One Center's Experience

Cited by 23 publications

References 21 publications

Brachio‐basilic upper arm transposition fistulas vs. prosthetic brachio‐axillary vascular access grafts—Which one is preferred for hemodialysis?

Brachio‐basilic upper arm transposition fistulas vs. prosthetic brachio‐axillary vascular access grafts—Which one is preferred for hemodialysis?

Vascular access for hemodialysis in the elderly

Small incision basilic vein transposition technique: A good alternative to standard method

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