Modified two-stage basilic vein transposition for hemodialysis access - 03/08/11
, Victor Gordon, B.S., Lisa Flynn, M.D., F.A.C.S., R.V.T., David Lorelli, M.D., F.A.C.S., R.V.T.
Corresponding author. Tel.: 313-343-7849; fax: 313-343-7378Abstract |
Background |
Various techniques for basilic vein transposition have been described, including endovascular, 1-stage, and 2-stage transposition. However, none of these 2-stage techniques include a new arteriovenous anastomosis during the second stage. This study adds to the current literature as well as introducing a new and innovative technique for hemodialysis access.
Methods |
Forty-nine basilic vein transpositions were performed. Data were collected retrospectively. Primary and secondary patency was calculated using life table methods. Complications and interventions were recorded.
Results |
Primary patency was 72% at 1 year, 54% at 2 years, and 54% at 3 years. Secondary patency was 95%, 80% and 65% at 1, 2, and 3 years, respectively. Twenty-nine patients experienced complications related to the fistula, and 15 required intervention to maintain patency. Patency was achieved in 100% of the procedures using percutaneous techniques.
Conclusions |
This 2-stage procedure should be strongly considered when planning brachial basilic fistulas for hemodialysis access.
Le texte complet de cet article est disponible en PDF.Keywords : Hemodialysis access, Basilic vein transposition
Plan
Vol 202 - N° 2
P. 184-187 - août 2011 Retour au numéro
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