BASILIC VEIN TRANSPOSITION PDF

BASILIC VEIN TRANSPOSITION PDF

Basilic vein transposition (BVT) fulfills the need for a durable conduit with high patency and maturation rates. This retrospective review examines a single group’s. Methods: We have used the transposed proximal basilic vein in 65 procedures to construct an autogenous arteriovenous fistula (AVF) to the brachial artery in To extend the availability of each extremity as an access site, we have used the transposed basilic vein for fistula construction since Our purpose is to.

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The incidence of thrombotic occlusion and infection is relatively low compared with prosthetic AV fistulas [ 7 — 9 ]. Conventional BVT [ Figure 1 ] requires long incision over the medial aspect of the arm. Footnotes Source of Support: Primary use of the autogenous arteriovenous access is recommended by the National Kidney Foundation-Dialysis Outcomes Quality Initiative guidelines. Failure of arteriovenous fistula maturation: A transverse incision is made at the medial site just above the elbow and the basilic vein is localized and dissected.

Side branches of the vein were isolated and ligated. It is the most durable hemodialysis access procedure for those patients having multiple forearm AVF surgeries. Recommended standards for reports dealing with arteriovenous hemodialysis accesses. End-stage renal disease is a significant health problem. Author information Copyright and License information Disclaimer. Transposition of the basilic vein for arteriovenous fistula: Evaluation of the efficacy of the transposed upper arm arteriovenous fistula: Transposed Basilic Vein-Brachial arteriovenous fistula: An alternative vascular access for hemodialysis.

Once it is felt that further dissection was not possible from this incision, another cm longitudinal incision in the medial aspect of the upper arm and dissection of the basilic vein continued proximally.

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Support Center Support Center. It avoids a large wound with all the risks associated with wound complications.

A call to action — Revisited. The mean follow-up was six months. One patient developed a haematoma in the subcutaneous tunnel, necessitating surgical exploration with salvage of the access.

Though basilic vein transposition is well established in multiple failed fistulae’s and obese patients, it requires large incision and morbidities like edema and infection. View large Download slide.

More prospective randomized studies are required to validate this small incision technique. The divided basilic vein in antecubital fossa was brought over fascia through newly created subcutaneous tunnel followed by end-to-side anastomosis. Eur J Vasc Endovasc Surg. BVT is an alternative method with excellent initial maturation and functional patency rates requiring less extensive skin incision and surgical dissection.

Endoscopic saphenous vein harvesting versus open technique.

Den Bosch, The Netherlands. The diameters and patency of the brachial, radial tansposition ulnar arteries were determined, and cephalic and basilic vein diameter and continuity in the forearm and upper arm were also assessed.

The patients with minimum 3 mm basilic vein diameter on Doppler were only included in the study.

After dissecting the basilic vein up to axillary vein, it is cut in the cubital fossa and transposed into the subcutaneous tissue by multiple small incisions. Please check for further notifications by hransposition.

Small incision basilic vein transposition technique: A good alternative to standard method

No wound complications occurred and all AV fistulas could be used satisfactorily for dialysis treatment. Evaluation of the efficacy of the transposed upper arm arteriovenous fistula: Related articles in Web of Science Google Scholar.

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We performed the small incision technique at our institute. In spite of troublesome comorbidities associated with basilic vein transposition BVTit is still the most preferred technique when autologous veins are not suitable to construct radio-cephalic fistula RCF and brachiocephalic fistula BCFarteriovenous fistula AVF. Click here to view. The patients with minimum 3 mm basilic vein diameter on Doppler were only included in transpsition study.

Different surgical techniques and their effects on fistula patency and dialysis-related complications.

Small incision basilic vein transposition technique: A good alternative to standard method

Comparison of transposed brachiobasilic fistulas to upper arm grafts and brachiocephalic fistulas. Urinary mitochondrial deoxyribonucleic acid associates with delayed graft function following renal transplantation.

J Am Coll Surgeons.

After lifting the skin with the hook retractors the tributaries of the vein are cut between ligatures. No bleeding, thrombosis, failure, pseudo aneurysm, or rupture occurred in our patients. Am J Kidney Dis ;37 1 Suppl 1: Hemodialysis adequacy, peritoneal dialysis adequacy and vascular access. It is the most durable hemodialysis access procedure for those patients having multiple forearm AVF surgeries. It provides a reliable point of bssilic with good blood flow through an anastomosis between already dilated vessels.

Multiple longitudinal separate second skin incisions 2—3 cm were made to explore proximal part of basilic vein. The need for reliable, long-term hemodialysis vascular access remains critical.