Role of vein patch angioplasty in isolated operations for profunda femoris stenosis and disabling claudication

Jennings, William C.; Wood, Claire

doi:10.1016/0002-9610(85)90133-3

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…3,11,16,17,[30][31][32] Wrist fistulas (Brescia-Cimino) have been found by some investigators to have particularly high failure rates. 16,29,33 Guidelines from the NFK/DOQI recommend a brachial artery NAVF as the second option when a wrist fistula is not possible or fails. Brachial artery NAVFs are generally created using an end-to-side technique resulting in upper-arm fistulas without the potential for forearm hemodialysis access.…”

Section: Resultsmentioning

confidence: 99%

“…Most patients are not suitable candidates for a classic Brescia-Cimino fistula at the wrist, as determined by physical examination and ultrasound evaluation. 3,16,29,33,45 Often, the cephalic vein at the wrist has been utilized for venipuncture and intravenous therapy access sites. The vein may be too small (Ͻ 2.5 mm by ultrasound) or it may have an interrupted segment that will prevent maturation of the fistula.…”

Section: Resultsmentioning

confidence: 99%

“…When an anastomosis is constructed in smaller vessels such as these, the amount of tissue incorporated in the suture becomes exponentially important in successful outcomes. 29 A "back wall first" technique is generally used in these small vessels, similar to the method described by Tellis et al 21 This involves initiating the suture in the mid portion of the back wall and, using a running suture technique, closing the back wall from the inside of the anastomosis and then completing each corner ( Figure 3B and C). The front wall closure is completed with this same continuous running technique, tightening the suture except for the last 2 suture passes, which are placed but left loose to allow for introduction of an appropriate-sized vessel probe.…”

Section: Anastomotic Technique For Pra Navfsmentioning

confidence: 99%

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Creating Arteriovenous Fistulas in 132 Consecutive Patients

Jennings¹

2006

Arch Surg

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101

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Dialysis by native arteriovenous fistula (NAVF) clearly offers lower infection rates, fewer procedures, and lower mortality risk compared with access by catheter or graft, in addition to lower cost. However, NAVFs are utilized for vascular access in only 30% of hemodialysis patients in the United States. Wrist NAVFs are not feasible or successful in many patients and upper arm brachial artery NAVFs may be impractical or lead to additional procedures or complications. Careful preoperative evaluation of all options for NAVF construction including the proximal radial artery (PRA) as an arterial inflow site will find most, if not all, patients to be candidates for successful NAVFs. Design: Retrospective review of consecutive operations for hemodialysis access preformed by an individual surgeon from May 2003 to November 2004.Setting: Two university-affiliated tertiary medical centers.Patients: All patients underwent preoperative ultrasound evaluation by the operating surgeon. A wrist fistula was first choice for access when success was predicted by ultrasound and physical examination. The second choice, and most common operation, was a PRA NAVF with distal forearm (retrograde) flow established by disrupting the initial venous valve using a vessel probe.Results: One hundred thirty-two patients aged 11 to 90 years (mean=61) were reviewed. Sixty-eight patients had diabetes and 61 were female. Thirty-four had previous failed access surgery. Native arteriovenous fistulas were created in all patients. No grafts were used. A PRA NAVF was utilized in 105 operations. Overall (assisted) patency was 97%, with a mean follow-up of 11 months. Importantly, there were no infections or hospitalizations due to the NAVF access operations. Conclusions:No grafts were used in this series of 132 consecutive patients. The PRA NAVF was the most common operation and an important addition to wrist, brachial, and transposition fistulas. Proximal radial artery NAVFs increase the opportunity for construction of successful NAVFs and are reliable, safe, and simple procedures with access sites often available in both the forearm and in the upper arm.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Anastomotic Technique For Pra Navfsmentioning

confidence: 99%

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Creating Arteriovenous Fistulas in 132 Consecutive Patients

Jennings¹

2006

Arch Surg

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101

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“…Most patients are not suitable candidates for a radiocephalic AVF at the wrist, as determined by ultrasound evaluation. 11,19,20 Often, the cephalic vein at the wrist has been utilized for venipuncture and intravenous therapy access sites. The vein may be too small.…”

Section: Discussionmentioning

confidence: 99%

Effect of Chinese Herbal Fomentation on Arteriovenous Fistula Maturation

Tong

Yuan

2011

The Journal of Alternative and Complementary Medicine

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“…The third recommended fistula is the Brachiobasilic fistula [3]. The Radio vessels, the amount of tissue incorporated in the suture becomes exponentially important for successful outcomes [5]. A "back wall first" technique is generally used in these small vessels, similar to the method described by Tellis et al [6].…”

Section: Introductionmentioning

confidence: 99%

A Long term study for upper limb arterio-venous fistula creation for hemodialysis at a tertiary level hospital in Eastern India

Khan¹,

Prokash²

2016

clinical-practice

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Background: There is gradual increase in need for hemodialysis, as there is gradual increase in the end stage renal disease in India. Permanent vascular access in the patient with end stage renal disease on hemodialysis is provided through a central venous catheter, arteriovenous graft, or arteriovenous fistula. The aim of this study was to evaluate the site, results and postoperative complications of arteriovenous fistula creation in our hospital. Method: It was a retrograde study conducted at Seth Sukhlal Karnani Memorial (SSKM) hospital, Institute of PostGraduate Medical Education and Research (IPGMER), Kolkata, between 1st July 2006 and 30th August 2011. All patients, with end stage renal disease requiring long term vascular access for haemodialysis, were included in the study. In most of the patients radio-cephalic fistulae were created in the left forearm, in some on right forearm, just above the wrist joint, and in some patients brachiocephalic or brachiobasilic arteriovenous fistulae were created. Results: 375 patients were studied; 292 (77.86%) males and 83(22.14%) females, with male to female ratio of 3.52:1. Distribution of co-morbid factors showed diabetes in 225 (60.0%), hypertension in 150 (40%) patients. Radio-cephalic fistula was done in 295 patients and brachiocephalic fistula in 80 patients. In 5% dominant hand was used and for remaining 95% of the patients fistula was created on non-dominant hand. Arterio-venous fistula was successful at 6 weeks in 95%, at 2 years in 90% and at 5 years in 85% patients. In 5% cases, failure in first 6 weeks was because of primary failure or wound infections and at 2-5 years failure due to stenosis of cephalic vein by repeated punctures and thrombosis. In failed patients redo procedure was carried out successfully at another (cubital) site. Conclusion: Radio-cephalic arteriovenous fistula in patients with end stage renal disease requiring long term vascular access for haemodialysis remains the procedure of choice if done by experienced hands.

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Role of vein patch angioplasty in isolated operations for profunda femoris stenosis and disabling claudication

Cited by 5 publications

References 7 publications

Creating Arteriovenous Fistulas in 132 Consecutive Patients

Creating Arteriovenous Fistulas in 132 Consecutive Patients

Effect of Chinese Herbal Fomentation on Arteriovenous Fistula Maturation

A Long term study for upper limb arterio-venous fistula creation for hemodialysis at a tertiary level hospital in Eastern India

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