Transposition of Dorsally Lynig Forearm Basilic Vein for Distal Hemodialysis Vascular Access in the Upper Extremity: Surgical Technique and Mid-Term Results

Hastaoğlu, İsmail Oral; Erdem, Can C.; Bilgen, Fuat

doi:10.9739/uvcd.2011-27703

Cited by 2 publications

(7 citation statements)

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“…[1,2,6] Studies have reported much higher patency rates in BBAVFs, while rates of complications such as thrombus and infection are higher in synthetic grafts. [1][2][3] Infection rates as high as 19% have been reported with synthetic grafts, and the grafts frequently have to be removed. Meanwhile, synthetic grafts have been linked to greater steal syndrome, aneurysm development, and high-output heart failure.…”

Section: Discussionmentioning

confidence: 99%

“…Its high f low rate and smooth fistula tract make basilic vein AVF creation a viable option. [1][2][3] The BBABF involves a longer and more complex surgical procedure than other AVF procedures. [3] There is still no consensus regarding whether BBAVF creation should be singleor two-stage, and the decision is mainly left to the surgeon.…”

Section: Discussionmentioning

confidence: 99%

“…[1] The principal options for arteriovenous access in patients in whom the cephalic vein cannot be employed due to inappropriate structure or previous interventions are brachiobasilic AVF (BBAVF) or arteriovenous graft (AVG). [1][2][3][4][5] Although earlier cannulation is possible with AVG applications, the BBAVF has lower complication and higher patency rates. [3,4] According to the clinical practice guidelines of the European Society for Vascular Surgery published in 2018, autogenous AVF options should be preferred to synthetic grafts for hemodialysis patients owing to their low postoperative complication rates and fewer requirements for endovascular or surgical revision due to AVF failure.…”

mentioning

confidence: 99%

“…[1][2][3][4][5] Although earlier cannulation is possible with AVG applications, the BBAVF has lower complication and higher patency rates. [3,4] According to the clinical practice guidelines of the European Society for Vascular Surgery published in 2018, autogenous AVF options should be preferred to synthetic grafts for hemodialysis patients owing to their low postoperative complication rates and fewer requirements for endovascular or surgical revision due to AVF failure. Single-or two-stage BBAVF in the upper extremity has been described as a good option, when AVF cannot be established with the cephalic vein, or in the event of failed radial-cephalic or brachial-cephalic AVF.…”

mentioning

confidence: 99%

“…[1,2] Different surgical techniques have, to date, been described involving single-or two-stage superficialization only or simultaneous transposition of the basilic vein. [1][2][3][4][5]8,9] Several studies have compared the patency and complication rates of BBAVF techniques with those of other AVFs and AVG. [1,2] Promising results have been recorded for BBAVF, and it has entered the guidelines as superior to AVG, in particular.…”

mentioning

confidence: 99%

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Long-term results for basilic vein superficialization or transposition for hemodialysis access

Ergene¹

2020

Turk J Vasc Surg

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Objectives: This study presents our long-term follow-up results of patients undergoing basilic vein superficialization and basilic vein transposition. Patients and methods: Medical records of a total of 71 patients (32 males, 39 females; mean age 56.7 years, range, 31 to 76 years) undergoing brachiobasilic arteriovenous fistula surgery for hemodialysis access between January 2010 and March 2019 were retrospectively analyzed. The patients were divided into two groups according to the type of access procedure as the basilic vein superficialization group (n=42) and basilic vein transposition group (n=29). The primary and secondary patency rates were evaluated. Results: The mean follow-up was 18.8 months. In the early postoperative period, bleeding or hematoma developed in 13, extremity edema in 11, and superficial wound site infection in four patients. Surgical methods were applied to six of 11 patients who developed fistula thrombosis during follow-up, while interventional methods were applied to five patients. Primary and secondary patency rates were 86% and 90%, respectively in the superficialization group and 76% and 90%, respectively in the transposition group. There was no statistically significant difference in the patency rates or postoperative complications between the groups. Conclusion: Owing to their low complication and high patency rates, both basilic vein superficialization and basilic vein transposition can be safely employed in patients in whom arteriovenous fistula cannot be established with the cephalic vein.

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