Selective two-stage basilic and cephalic vein transpositions can significantly improve the rate of fistula construction

Hashemi, Homayoun; Sheridan, Michael J.; Ford, Beverly

doi:10.1055/s-0031-1278339

Cited by 5 publications

(7 citation statements)

References 25 publications

(29 reference statements)

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“…These are studies that focused on one of the two options. 2,5–7,14–17,20–36 The largest single-stage studies are Korkut (N = 375) and Glass (N = 217), while the largest two-stage study is Rego (N = 276). Korkut and Kosem achieved a maturation rate of 93% with 1-year primary and secondary patency rates of 92% and 93%, respectively, while Glass et al reported a maturation rate of 87%.…”

Section: Discussionmentioning

confidence: 99%

One- versus two-stage transposed brachiobasilic arteriovenous fistulae: A review of the current state of the art

et al. 2019

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In the absence of suitable cephalic vein, the brachiobasilic vein complex represents the best option for arteriovenous access. However, the basilic vein is too deep to cannulate and requires transposition to be accessible. Transposition can be performed during fistula creation (single-stage BBTx) or at a second operation after initial fistula creation (two-stage brachiobasilic transposition (BBTx)). The best approach is unknown. A PubMed search using “Basilic vein transposition” as the primary search term was performed to identify articles addressing this controversy. Meta-analysis was then performed using those papers that provided the inspected data points with student’s t-test used to compare maturation and patency rates between the groups. A total of 37 manuscripts were judged of adequate quality for analysis. Based on the available data, overall maturation rates, 1-year primary patency rates, and overall complication rates seem to be equivalent between single- and two-stage BBTx, while 1-year secondary patency is greater in the two-stage group (79% vs 85%). A large prospective randomized clinical trial with clear definitions of maturity, patency, and complications is needed to definitively answer the question of whether one strategy is better than the other.

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Section: Discussionmentioning

confidence: 99%

One- versus two-stage transposed brachiobasilic arteriovenous fistulae: A review of the current state of the art

et al. 2019

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“…16,17 Pneumatic tourniquet may be employed to facilitate performing lipectomy, CET, and fistula revision operations in the forearms. 9,[18][19][20] The reported clinical outcomes of fistula superficialization procedures vary substantially 3,4,7,9,10,[21][22][23] and may be influenced by multiple factors: patient population characteristics and compliance to follow-ups, surgical procedures used, fistula surveillance and the utilization of interventions for maintaining the fistula patency, skills of the dialysis staff, and other factors. Therefore, it would be difficult to compare these outcomes directly.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and comparison of elevation transposition and lipectomy for superficialization of cephalic arteriovenous fistula veins

Wang

2018

J Vasc Access

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“…A 200-400 mL/min blood flow is provided by cannulation of the surface veins which is required for an effective hemodialysis (6). To date, various techniques and sites have been developed for constructing the fistula, among which the wrist and the antecubital fossa are the most suitable places (7,8). According to national American society for vascular surgery, wrist is the first choice for radio-cephalic fistula.…”

Section: Introductionmentioning

confidence: 99%

Antecubital arteriovenous fistula in hemodialysis; a comparison between side-to-side versus end-to-side venous anastomosis

Nazari¹,

Alamshah²,

Bahadoram³

et al. 2017

J Renal Inj Prev

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In a study on 100 end-stage renal disease, we found ETS arteriovenous fistulas had less complications compared to the STS technique in this patients. Please cite this paper as: Introduction:Chronic Kidney Disease (CKD) is a global health problem which is growing in prevalence. Hemodialysis is the most common treatment for end-stage renal disease (ESRD) which requires a permanent vascular access. Vascular accesses should have a good patency and low complication. Objectives: The present study aimed to compare side-to-side (STS) versus end-to-side (ETS) methods in antecubital arteriovenous fistulas in dialysis patients. Patients and Methods: In this randomized, single-blind clinical trial, 100 ESRD patients who scheduled for hemodialysis were divided into two groups. STS arteriovenous anastomosis was employed in one group and in the other, the ETS approach was conducted. Follow ups were done after 1, 8, and 24 weeks to detect fistula maturation and immediate or delayed complications. Results:The STS anastomosis group demonstrated higher rates of delayed maturation, vascular aneurism, and venous hypertension syndrome than ETS anastomosis group. The ETS group, however, showed higher rates of venous thrombosis and vascular stenosis. Overall, the rate of complications was 24% and 8% for STS and ETS anastomosis group respectively (P = 0.03). Conclusion:In comparison, ETS arteriovenous fistulas involve less complications than STS method in ESRD patients. However, more thrombosis and stenosis detected by ETS method. ETS arteriovenous fistulas had less delayed maturation, aneurism, venous hypertension and overall complications than STS approach. ETS arteriovenous fistulas contributes to establishing a more stable connection to hemodialysis machine to conduct a more effective hemodialysis.

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Selective two-stage basilic and cephalic vein transpositions can significantly improve the rate of fistula construction

Cited by 5 publications

References 25 publications

One- versus two-stage transposed brachiobasilic arteriovenous fistulae: A review of the current state of the art

One- versus two-stage transposed brachiobasilic arteriovenous fistulae: A review of the current state of the art

Efficacy and comparison of elevation transposition and lipectomy for superficialization of cephalic arteriovenous fistula veins

Antecubital arteriovenous fistula in hemodialysis; a comparison between side-to-side versus end-to-side venous anastomosis

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