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Updated: Jul 6, 2026
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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Arteriovenous fistula formation using transposed basilic vein: extensive single centre experience
S J F Harper1, I Goncalves1, T Doughman1
1Transplantation Division, Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
Summary
Brachiobasilic arteriovenous fistulae (BBAVF) offer a viable vascular access option for hemodialysis patients. While initial patency is high, long-term success is moderate, with significant complication rates requiring management.
Area of Science:
- Vascular Surgery
- Nephrology
- Dialysis Access
Background:
- The growing hemodialysis population necessitates advanced vascular access solutions.
- Complex cases often require sophisticated surgical techniques for adequate access.
Purpose of the Study:
- To evaluate the outcomes of brachiobasilic arteriovenous fistulae (BBAVF) in a large patient cohort.
- To assess the patency rates and complication profile of BBAVF.
Main Methods:
- Retrospective review of case notes for patients undergoing BBAVF creation.
- Single-stage vein transposition technique was employed for fistula construction.
Main Results:
- 168 BBAVF were created in 144 patients; 98% were patent at 24 hours.
- Secondary patency rates at 1, 2, and 3 years were 66%, 50%, and 41%, respectively.
- 71% of patients experienced complications, including thrombosis, edema, infection, and steal syndrome.
Conclusions:
- BBAVF provide an important vascular access option with acceptable initial patency.
- Significant complication rates necessitate careful monitoring and management strategies.
