Brachiobasilic arteriovenous fistula with transpositionof the basilic vein: a multicenter study
Brachiobasilic arteriovenous fistula with transpositionof the basilic vein: a multicenter study
Background/aim: The aim of this paper was to present our 3-year multicenter experience in creating a vascular access using the basilic vein. The third choice in creating vascular access is the brachiobasilic arteriovenous fistula (AVFs) with transposition of the basilic vein. Materials and methods: During 2010 2012, out of a total of 874 AVFs that were performed in our two centers, 54 were brachiobasilic fistulas (6.71%), performed on 54 patients. All surgical procedures were performed by two surgical teams, one for each center. There were no significant differences regarding the patients age, sex, and comorbidities between the two centers. Results: We reported a total of six postoperative complications (11.10%): two wound infections, two arm edemas, one hematoma, and one bleeding (due to a collateral ligature slippage), which required surgical intervention the same day. None of the other complications required another surgery. The first year patency rate was 89.79% (four fistulas failed due to thrombosis and one due to perforation) and the second year patency rate was 62.12%. Conclusion: The brachiobasilic AVF with transposition of the basilic vein, according to the latest guidelines, remains a well-documented and feasible third option in creating vascular access with better results than graft fistulas.
___
- 1. Tordoir J, Canaud B, Haage P, Konner K, Basci A, Fouque D, Kooman J, Martin-Malo A, Pedrini L, Pizzarelli F et al. EBPG on vascular access. Nephrol Dial Transpl 2007; 22: ii88-ii117.
- 2. Carcardo S, Acchiardo S, Beven E, Popowniak K, Nakamoto S. Proximal arteriovenous fistulas for hemodialysis when radial arteries are not available. Proc Eur Dial Transplant Assoc 1970; 42: 260.
- 3. Dagher F, Gelber R, Ramos E, Sadler J. The use of basilic vein and brachial artery as an AV fistula for long term hemodialysis. J Surg Res 1976; 20: 373-376.
- 4. Koontz Jr PG, Helling TS. Subcutaneous brachial vein arteriovenous fistula for chronic hemodialysis. World J Surg 1983; 7: 672-674.
- 5. III. NKF-K/DOQI Clinical Practice Guidelines for Vascular Access: update 2000. Am J Kidney Dis 2001; 37: S137-S181.
- 6. Pantea S, Luchian G, Pantea C, Lazăr F, Bordoş D, Păpurică M, Balasa-Guragata C, Nicoara S, Mates A. The placement of Tenckhoff peritoneal dialysis catheter by laparoscopic approach-our experience. Chirurgia 2008; 103: 669-672.
- 7. Tarcoveanu E, Bradea C, Florea L, Covic A, Diaconiţă M, Tăranu T, Anghelus A. Laparoscopic management of peritoneal dialysis catheters. Chirurgia 2002; 97: 293-296.
- 8. Munteanu, R. The reposition technique for treatment of obstruction or migration of the peritoneal dialysis catheter. Chirurgia 2001; 97: 401-405.
- 9. Sinelnikov, R. D. Human Anatomic Atlas. Russian ed. Moscow, Russia: Medicine publishing; 1974.
- 10. Pantea S, Jiga L, Ionac M, Lazar F. Arterio-venous fistula using nonpenetrating titanium clips (VCS). Chirurgia 2013; 108: 563-567.
- 11. Veeramani M , Vyas J, Sabnis R, Desai M. Small incision basilic vein transposition technique: a good alternative to standard method. Indian J Urol 2010; 26: 145-147.
- 12. Tordoir JH, Dammers R, de Brauw M. Video‐assisted basilic vein transposition for haemodialysis vascular access: preliminary experience with a new technique. Nephrol Dial Transpl 2001; 16: 391-394.
- 13. Ayez N, van Houten VA, De Smet AA, van Well AM, Akkersdijk GP, van de Ven PJ, Fioole B. The basilic vein and the cephalic vein perform equally in upper arm arteriovenous fistulae. Eur J Vasc Endovasc 2012; 44: 227-231.
- 14. Butterworth PC, Doughman TM, Wheatley TJ, Nicholson ML. Arteriovenous fistula using transposed basilic vein. Brit J Surg 1998; 85: 653-654.
- 15. Harper SJF, Goncalves I, Doughman T, Nicholson ML. Arteriovenous fistula formation using transposed basilic vein: extensive single centre experience. Eur J Vasc Endovasc 2008; 36: 237-241.
- 16. Kawecka A, Dębska-Slizień A, Prajs J, Król E, Zdrojewski Z, Przekwas M, Rutkowski B, Lasek J. Remarks on surgical strategy in creating vascular access for hemodialysis: 18 years of one centers experience. Ann Vasc Surg 2005; 19: 590-598.
- 17. Segal JH, Kayler LK, Henke P, Merion RM, Leavey S, Campbell Jr DA. Vascular access outcomes using the transposed basilic vein arteriovenous fistula. Am J Kidney Dis 2003; 42: 151-157.
- 18. Moossavi S, Tuttle AB, Vachharajani TJ, Plonk G, Bettmann MA, Majekodunmi O, Russell GB, Regan JD, Freedman BI. Long‐term outcomes of transposed basilic vein arteriovenous fistulae. Hemodial Int 2008; 12: 80-84.
- 19. Hossny A. Brachiobasilic arteriovenous fistula: different surgical techniques and their effects on fistula patency and dialysis-related complications. J Vasc Surg 2003; 37: 821-IN12.
- 20. Oliver MJ, Mccann RL, Indridason OS, Butterly DW, Schwab SJ. Comparison of transposed brachiobasilic fistulas to upper arm grafts and brachiocephalic fistulas. Kidney Int 2001; 60: 1532-1539.
- 21. Coburn MC, Carney Jr WI. Comparison of basilic vein and polytetrafluoroethylene for brachial arteriovenous fistula. J Vasc Surg 1994; 20: 896-904.
- 22. Polo JR, Tejedor A, Polo J, Sanabia J, Calleja J, Gómez F. Long‐term follow‐up of 68 mm brachioaxillary polytetrafluorethylene grafts for hemodialysis. Artif Organs 1995; 19: 1181-1184.
- 23. Brescia MJ, Cimino JE, Appel K, Hurwich BJ. Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. New Engl J Med 1966; 275: 1089-1092.