Ulnar basilic arteriovenous fistula:

Fonseka, W.R.D.; Rajamantri, S.D; Sheriffdeen, AH

doi:10.1016/s0041-1345(02)03157-3

Cited by 6 publications

(6 citation statements)

References 2 publications

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“…4,9 To preserve as many proximal vessels as possible and decrease the incidence of steal syndrome, UBAVF has been recommended as an alternative. 9,11 But the study focused on UBAVF is relatively limited 1,[11][12][13][14] and a systematic review about UBAVF identified only 8 eligible articles. 15 Our primary and secondary patency rates of UBAVF at 1 year are 77.2% and 88.1%, respectively, which are superior to some previous studies 1,7,13,14,16 and are similar to reports from either Weyde et al or Salgado et al 12,17 Schwein et al reported relatively low patency rate owing to the high rates of diabetic patients.…”

Section: Discussionmentioning

confidence: 99%

“…The UBAVF could provide relative long segment of vein for cannulation and decrease the morbidity of steal syndrome as it is a distal-located AVF. 11 There are still some challenges, besides the outcome is encouraging. First, the diameter of the ulnar artery and the basilic vein is small, so surgical microscope was recommended by some authors.…”

Section: Discussionmentioning

confidence: 99%

“…Second, the maturation time of UBAVF, which is longer than that of RCAVF, takes 6 to 10 weeks because the vessel wall of the basilic vein is relatively thin. 11 So, UBAVF may be not suitable for the patients who need urgent functional AVF. Third, the cannulation of UBAVF is more difficult for dialysis nurses than that of RCAVF because the elbow of patient needs to be flexed.…”

Section: Discussionmentioning

confidence: 99%

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Long-Term Results of Ulnar-Basilic Fistula Versus Radiocephalic Fistula for Maintenance Hemodialysis Access

Zhen

Liu

et al. 2017

Vasc Endovascular Surg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long-Term Results of Ulnar-Basilic Fistula Versus Radiocephalic Fistula for Maintenance Hemodialysis Access

Zhen

Liu

et al. 2017

Vasc Endovascular Surg

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“…The need for long maturation times (5,6,18) is certainly one of the disadvantages of a UBF when compared with an RCF or grafts. Thus, a UBF should ideally be created at least 8 weeks before initiating HD so as to be functional for the start of the treatment.…”

Section: Discussionmentioning

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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“…Although proximal fistula provides better flow and faster maturation, it is known for technical complexity and higher complications such as hand edema, steal phenomenon, high output cardiac failure, etc. 2 , 4 , 5 ) Ulnar-basilic(UB) fistula has been described as an alternative procedure in recent studies, but still this procedure searches clear recommendations.…”

Section: Introductionmentioning

confidence: 99%

Ulnar-Basilic Arteriovenous Fistula for Hemodialysis Access: Utility as the “Second Procedure” after Radio Cephalic Fistula

Sharma

Bera

Goyal

et al. 2021

Annals of Vascular Diseases

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Objectives : As per standard guidelines, the recommended order of arteriovenous fistula (AVF) creation for hemodialysis (HD) access is radiocephalic (RC), followed by proximal elbow fistulas and arteriovenous graft. Although ulnar-basilic (UB) fistula has been an alternative to RC-AVF, still this procedure searches clear recommendations. We present here our experience on UB-AVF as the preferred “second procedure” instead of proximal fistula after the RC-AVF. Methods : Forty-two UB-AVF were created in nonfeasible and failed RC-AVF cases between 2016 and 2018. They were reviewed retrospectively and outcomes were compared with 480 RC-AVF constructed within the same period. Results : The primary patency at 18 months was 73.8%, 69.6% and mean maturation time was 33.7±6.6 days, 32.1±4.7 days for UB-AVF and RC-AVF respectively (p>0.05). Conclusion : Our altered order of preference enabled us to create all the first-time fistula in the distal forearm, providing all the advantages of distal fistula like RC-AVF and avoiding proximal fistula, improved patient convenience and short-term benefit. In an inference that may be used for references and needs support from a larger sample and longer duration study from other centers, UB-AVF may be considered as the second option after RC-AVF depending on the clinical scenario.

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Ulnar basilic arteriovenous fistula:

Cited by 6 publications

References 2 publications

Long-Term Results of Ulnar-Basilic Fistula Versus Radiocephalic Fistula for Maintenance Hemodialysis Access

Long-Term Results of Ulnar-Basilic Fistula Versus Radiocephalic Fistula for Maintenance Hemodialysis Access

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

Ulnar-Basilic Arteriovenous Fistula for Hemodialysis Access: Utility as the “Second Procedure” after Radio Cephalic Fistula

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