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Delayed superficialization of brachiobasilic fistula: technique and initial experience
C M Zielinski1, S K Mittal, P Anderson
1Department of Surgery, Creighton University School of Medicine, 601 N 30th St, Omaha, NE 68131, USA. deepeter@creighton.edu
Hypothesis:
Angioaccess procedures for dialysis have varied patency rates with frequent need for intervention. A superficialized arteriovenous brachiobasilic fistula created as a 2-step procedure will have good long-term patency with minimal complication.
Design:
Retrospective medical record review and patient interview.
Setting:
Tertiary referral university hospital.
Patients:
Twelve patients who underwent delayed superficialization of brachiobasilic fistula from September 1994 to April 2000.
Main Outcome Measures:
Patency of fistula for dialysis, and major and minor complications, including revisions.
Results:
Delayed superficialization of brachiobasilic fistula was performed in 12 patients. Fistulas have been used for a mean duration of 22.4 months (range, 10-59 months). Two patients required alternate access owing to thrombosis of brachiobasilic fistula.
Conclusions:
The delayed superficialized brachiobasilic arteriovenous fistula has a good initial patency rate with minimal complications. It should be considered early in patients if radiocephalic fistula is unavailable.