Ulnar arteriovenous fistula for maintenance haemodialysis

Kinnaert, Paul; Vereerstraeten, Pierre; Geens, M; Toussaint, C

doi:10.1002/bjs.1800580902

Cited by 16 publications

(6 citation statements)

References 3 publications

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“…Correlation between age and failure has not been described earlier. Ulnar artery-basilic vein fistulas have poorer patency rates as compared to the Brescia-Cimino fistula [8,9], with no significant difference between those made in the anatomical snuff box [10] and the elbow [11]. Our consolidated early failure rate (14.6%) is comparable with the overall failure rate in literature (9-12%) [12][13][14].…”

Section: Discussionsupporting

confidence: 63%

Angioaccess for Haemodialysis in Renal Failure-an Analysis of the Role of the Brescia-Cimino Fistula

Batura

Saxena

Alva

et al. 1999

Medical Journal Armed Forces India

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Forty-six patients with end stage renal disease underwent forty-eight arteriovenous 6stuIa formation by the Brescia-Cimino method between Jan 1994 and Jan 1997. The purpose of the fistula in all cases was to provide angioaccess for haemodialysis through the arterialised veins. Thirty-five (72.9%) of these fistulas were made on males, the remaining being on females. Mean age of the patients was 35.9 years. The fistulas were created in the left upper limb in 40 cases (83.3%) and the right upper limb was used in 8 cases (16.7%). The distal third of the forearm was used in.all cases. During follow up, thirty-nine (94.1%) fistulas functioned for durations between 6 months to 2 years (average follow up of 14 months), permitting a mean of 2 dialysis per week. Seven cases (14.6%) had early fistula blockage. The end point for follow up was a successful·renal transplant in the majority of patients. Except for nonpatency, and limb edema in two cases, no other complications were encountered. MJAFl 1999; 55 : 310-312

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Section: Discussionsupporting

confidence: 63%

Angioaccess for Haemodialysis in Renal Failure-an Analysis of the Role of the Brescia-Cimino Fistula

Batura

Saxena

Alva

et al. 1999

Medical Journal Armed Forces India

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“…Kinnaert et al (4) reported that in 15 of 18 patients, a UBF was created after ligation of the ipsilateral radial artery. They prevented distal ischemia by performing side‐to‐end anastomosis.…”

Section: Discussionmentioning

confidence: 99%

“…Later, in 1968, McMillan and Evans (3) commented on a patient in whom a UBF had to be ligated after successful renal transplantation because of access‐related congestive heart failure. However, the first attempt to evaluate function and complications of UBF was done by Kinnaert et al (4) in 1971. Six years later, in 1977, the same author reported a high incidence of early failures and poor survival rates for UBF compared with other techniques (5).…”

mentioning

confidence: 99%

Ulnar‐basilic Fistula: Indications, Surgical Aspects, Puncture Technique, and Results

Salgado¹,

Chacón²,

Henríquez³

2004

Artificial Organs

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Ulnar-basilic fistula (UBF) is an autogenic vascular access option for hemodialysis (HD) first reported in 1967. However, only a few reports dealing with its complications and survival rates have been published in the literature. In the present work the results of 61 UBFs done in 60 adult patients on chronic HD are reported. Forty UBFs were created as primary access and the remaining 21 UBF as secondary access after: (a) thrombosis of an ipsilateral radiocephalic fistula (RCF) in 6 cases, (b) thrombosis of a contralateral RCF in 7 cases, and (c) thrombosis of a brachiocephalic fistula in 2 cases. No episodes of surgical complications, arterial steal, or ulnar nerve damage were observed. Five UBFs thrombosed within the first week after surgery. The 1-, 3-, and 5-year unassisted survival rates were 70.9%, 67.7%, and 57.3%, respectively, which were significantly higher than those reported previously. The inclusion of UBF in routine access plans is recommended.

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“…Therefore, this technique should not be discarded; it is a rather simple method of vascular access in patients where the classic site for arteriovenous fistulas cannot be used because of thrombosis or prior insertion of external shunts. Ulnar fistulas were also created successfully in patients in whom a classic radial-cephalic fistula had failed (Kinnaert et al, 1971).…”

Section: Discussionmentioning

confidence: 99%

Nine years' experience with internal arteriovenous fistulas for haemodialysis: A study of some factors influencing the results

Kinnaert

Vereerstraeten

Toussaint

et al. 1977

Journal of British Surgery

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132

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Data were collected concerning 314 internal arteriovenous fistulas created in 242 adult patients (92 women and 150 men). The immediate failure rate for the various techniques used ranged from 7-7 to 12-0 per cent, except for ulnar fistulas which had a rate of immediate thrombosis of 20-7 per cent. Survival rates were significantly lower for patients submitted to a combined therapy of dialysis and kidney transplantation when compared with patients treated with dialysis alone. The probability of survival of an arteriovenous fistula was lower in women than in men but the difference was significant only in patients undergoing transplantation. Survival rates at 2 years in dialysed patients were 87-6 per cent for distal radial-cephalic side-to-side fistulas, 100 per cent for radial-cephalic end-to-side fistulas located in the mid-forearm, 78-5 per cent for radial-cephalic end-to-side fistulas created near the wrist, 53-1 per cent for distal radial-cephalic end-to-end fistulas and 60-9 per cent for ulnar fistulas. Thrombosis was responsible for 87-2 per cent of 109 late failures. The incidence of infection was 1 case/11 patient years of haemodialysis.

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Ulnar arteriovenous fistula for maintenance haemodialysis

Cited by 16 publications

References 3 publications

Angioaccess for Haemodialysis in Renal Failure-an Analysis of the Role of the Brescia-Cimino Fistula

Angioaccess for Haemodialysis in Renal Failure-an Analysis of the Role of the Brescia-Cimino Fistula

Ulnar‐basilic Fistula: Indications, Surgical Aspects, Puncture Technique, and Results

Nine years' experience with internal arteriovenous fistulas for haemodialysis: A study of some factors influencing the results

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