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Arteriovenous fistula using transposed basilic vein
P C Butterworth1, T M Doughman, T J Wheatley
1University Department of Surgery, Leicester General Hospital, UK.
The British Journal of Surgery
|July 4, 1998
Summary
For patients needing long-term hemodialysis, a brachial artery-transposed basilic vein arteriovenous fistula offers a viable alternative to prosthetic grafts. This vascular access method demonstrated high maturation and low complication rates in a recent study.
Area of Science:
- Vascular surgery
- Nephrology
- Dialysis access
Background:
- Maintaining vascular access for long-term hemodialysis is challenging, often requiring repeat surgeries.
- Secondary and tertiary access options can be limited.
- Prosthetic conduits, while used in complex cases, have a high complication rate.
Purpose of the Study:
- To evaluate the efficacy of the brachial artery-transposed basilic vein arteriovenous fistula as an alternative to prosthetic grafts for hemodialysis vascular access.
Main Methods:
- The brachial artery-transposed basilic vein arteriovenous fistula was utilized in 31 cases.
- This procedure was chosen over prosthetic grafts.
Main Results:
- All 31 fistulas were technically successful.
- 28 of the fistulas achieved successful maturation.
- No significant infectious complications were reported.
Conclusions:
- The brachial artery-transposed basilic vein arteriovenous fistula is a promising option for hemodialysis access.
- Consideration of this fistula before prosthetic graft use is recommended.