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Forearm Basilic Vein Transposition: A Single-Centre Experience
Umair A Khan1, Talha Kareem1, Muhammad Uneeb2
1Vascular Surgery, Shifa International Hospital, Islamabad, PAK.
Forearm basilic vein transposition (FBVT) offers a suitable secondary vascular access option, demonstrating good primary patency rates. This surgical technique should be considered before resorting to arteriovenous grafts (AVGs) when forearm veins are insufficient.
Area of Science:
- Vascular Surgery
- Nephrology
- Dialysis Access
Background:
- Forearm basilic vein transposition (FBVT) is a surgical option for secondary vascular access.
- It involves dissecting and transposing the basilic vein to the forearm's volar aspect.
- This technique allows for anastomosis to the radial or ulnar artery.
Purpose of the Study:
- To present forearm basilic vein transposition (FBVT) as a viable secondary vascular access option.
- To review FBVT literature regarding surgical technique, patency, maturation, and outcomes.
- To compare clinical experience with existing literature.
Main Methods:
- Retrospective descriptive case series.
- Data collected from medical records and telephone follow-ups.
- Literature search conducted on PubMed and Google Scholar using relevant keywords.
Main Results:
- The study presents a series of FBVT cases.
- Patency rates, maturation time, and one-year outcomes were analyzed.
- Comparison with existing literature was established.
Conclusions:
- Forearm basilic vein transposition (FBVT) demonstrates favorable primary patency rates.
- FBVT is a suitable alternative before considering arteriovenous grafts (AVGs).
- Consider FBVT for patients with inadequate forearm cephalic veins.
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