Transposed Brachial–Basilic Arteriovenous Fistula for Vascular Access in Japan

Abstract

As more than 320,000 patients are currently receiving hemodialysis treatment in Japan, the creation and maintenance of hemodialysis access is a major concern. The national guidelines recommend autogenous arteriovenous hemodialysis, and the brachial–basilic arteriovenous fistula has been the focus of attention, because the need for secondary, tertiary, or even more vascular access is growing. Although favorable results have been reported in terms of patency and access-related complication, this fistula involves various unsolved or controversial issues, with limitations including complex procedures, which might contribute to the lower prevalence at this point in Japan. This review addresses those issues and discusses the role of fistula in Japan.

"Fetal Anatomical Variability of the Veins of the Upper Limbs"

“…This type was identified in 55 cases in the right and 48 cases in the left upper limb. Data on this type can also be found in the publications of other authors 10,23,24 .…”

Fístula arteriovenosa con elevación de la vena basílica. Reporte de Casos

“…Esta posición de la basílica implica mayor dificultad quirúrgica por lo que algunos cirujanos vasculares prefieren el uso de prótesis en pacientes que tienen vena cefálica inadecuada, a pesar que está documentado mayor riesgo de infección usando prótesis [7] . Se ha descrito la transposición de la vena a través de un túnel subcutáneo [8][9][10][11] ; otros elevan la vena basílica superficialmente reaproximando quirúrgicamente la fascia profunda y el tejido subcutáneo del brazo en uno o dos actos quirúrgicos [12][13][14] , pero aún no hay consenso.…”

Outcomes of incisional negative pressure wound therapy following brachiobasilic transposition arteriovenous fistula creation: A 1:2 propensity score matched study

“…BBT‐AVF is an important alternative for patients with end‐stage renal failure (ESRF) requiring haemodialysis as the basilic vein that is relatively preserved from repeated cannulation of blood draws 14 . The basilic vein too, however, runs a longer course and requires longer incisions in the creation of a BBT‐AVF 15 . The underlying immunocompromised state in ESRF alongside the need for long incisions in BBT‐AVF predisposes patients to SSIs.…”

“…14 The basilic vein too, however, runs a longer course and requires longer incisions in the creation of a BBT-AVF. 15 The underlying immunocompromised state in ESRF alongside the need for long incisions in BBT-AVF predisposes patients to SSIs. Hence, the aim of this study is to investigate the use of iNPWT in the reduction of SSI and morbidity in patients with BBT-AVF.…”