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The basilic vein fistula for vascular access
Transactions - American Society for Artificial Internal Organs
|January 1, 1979
Summary
The basilic vein fistula offers reliable vascular access for hemodialysis, showing excellent initial patency and no ischemic complications. This method is suitable for patients who cannot undergo forearm arteriovenous fistulae, with potential for lower infection rates and better long-term patency.
Area of Science:
- Vascular Surgery
- Nephrology
- Dialysis Access
Background:
- Vascular access is crucial for chronic hemodialysis.
- Autogenous basilic vein fistulae are an alternative for patients unsuitable for forearm fistulae.
- Evaluating the safety and efficacy of basilic vein fistulae is important.
Purpose of the Study:
- To assess the early outcomes of autogenous basilic vein fistulae for chronic hemodialysis.
- To determine the patency rates and complication profile of this vascular access method.
Main Methods:
- Retrospective analysis of patients undergoing basilic vein fistula creation.
- Monitoring for early complications such as edema, pain, and ischemia.
- Assessing fistula patency and absence of infection, aneurysm, or venous fibrosis.
Main Results:
- Basilic vein fistulae provided reliable vascular access with excellent initial patency.
- Early morbidity was limited to mild edema and pain.
- No ischemic complications, infections, aneurysms, or venous fibrosis were observed in the initial period.
Conclusions:
- Autogenous basilic vein fistulae are a viable option for hemodialysis access in select patients.
- The absence of a foreign body and venous anastomosis suggests potential for lower infection rates and improved long-term patency.
- Further long-term follow-up is warranted to confirm these promising initial results.