Outcomes of relocation of basilic vein in brachiobasilic fistulas in chronic renal failure

Kakaei, F. and Hasankhani, A. and Seyyed-Sadeghi, M. S. and Virani, P. and Asvadi, T. and Zarrintan, S. (2017) Outcomes of relocation of basilic vein in brachiobasilic fistulas in chronic renal failure. International Journal of Surgery, 44. pp. 76-81.

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Abstract

Background In patients without or with injured cephalic vein, using the basilic vein for creating arteriovenous fistula (AVF) is the best way for hemodialysis. In order to create AVF, the basilic vein should be superficialized and lateralized. This study sought to examine outcome of relocation of basilic vein in brachiobasilic fistulas in patients with chronic renal failure (CRF). Methods We evaluated the outcome of creation of brachiobasilic fistula with transposition of basilic vein in 27 patients (14 males and 13 females with mean age of 60.03 ± 8.04 years) with CRF. The success rate and complications were recorded during the follow-up period. The fistula was regarded efficient if cannulation was feasible conveniently and a minimum flow rate of 250 ml/min for 4 h at least for 3 consecutive hemodialysis sessions through both lines was documented 30 days postoperatively. Results The mean time gap between previous AVF creation or try and the relocation of basilic vein was 3.55 months. Thirty days postoperatively, 85.2 of the created AVFs were efficiently working. There were postoperative complications in 40.7 of patients including venous hypertension (14.8), bleeding (7.4), hematoma (7.4) and distal paresthesia (11.1). Conclusions Brachiobasilic AVF fistula provides a suitable option for vascular access in cases with failed previous AVF. Relocation of basilic vein for brachiobasilic AVF is technically feasible, safe and with excellent patency in short-term and complication rates are acceptable. © 2017 IJS Publishing Group Ltd

Item Type: Article
Additional Information: Export Date: 16 February 2020 Correspondence Address: Zarrintan, S.; Department of General Surgery, Tabriz University of Medical Sciences, Golgasht St., Iran; email: s.zarrintan@yahoo.com
Uncontrolled Keywords: Brachiobasilic fistula Complications Hemodialysis Patency adult aged arteriovenous fistula Article brachiocephalic vein chronic kidney failure clinical article false aneurysm feasibility study female follow up hematoma human hypertension male neuropathy outcome assessment paresthesia patient safety postoperative complication postoperative hemorrhage postoperative period priority journal vascular access arteriovenous shunt brachial artery catheterization middle aged surgery treatment outcome vascular patency vein Arteriovenous Shunt, Surgical Humans Kidney Failure, Chronic Postoperative Complications Renal Dialysis Veins
Subjects: WJ Urogenital System
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib3 lib3
Date Deposited: 27 Apr 2020 07:19
Last Modified: 27 Apr 2020 07:19
URI: http://eprints.mums.ac.ir/id/eprint/16882

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