Use of Basilic vein in arteriovenous fistulas construction for hemodialysis access. Is it a good option alternative to prosthetic arteriovenous grafts?
Purpose: For patients with a failed forearm autogenous fistula (AF) and an exhausted cephalic vein, there is controversy about whether a brachial basilic AF with transposition or an arteriovenous prosthetic bridging graft (BG) must be the second vascular access option. This work measured and compar...
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PAGEPress Publications
2023-07-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/11455 |
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| author | Ehab M. Abdo Tamer A. Abouelgreed Waleed E. Elshinawy Nehal Farouk Mohamed A. Abdelaal Hassan Ismail Amal H. Ibrahim Samar A. Kasem Ahmed A. Aboomar |
| author_facet | Ehab M. Abdo Tamer A. Abouelgreed Waleed E. Elshinawy Nehal Farouk Mohamed A. Abdelaal Hassan Ismail Amal H. Ibrahim Samar A. Kasem Ahmed A. Aboomar |
| author_sort | Ehab M. Abdo |
| collection | DOAJ |
| description |
Purpose: For patients with a failed forearm autogenous fistula (AF) and an exhausted cephalic vein, there is controversy about whether a brachial basilic AF with transposition or an arteriovenous prosthetic bridging graft (BG) must be the second vascular access option. This work measured and compared these two modalities according to patency rates, complications, and revisions. Patients and methods: A retrospective study of 104 cases that had either a brachial basilic AF (72) or an Arteriovenous BG (32). Technical success, operative complications, procedurerelated mortality, maturation time, functional primary, secondary, and overall patency rates were all assessed. Results: Technical success was obtained in all participants. No procedure-linked mortality. Maturation time for BGs was significantly shorter than AFs. The complication rate was significantly higher in BGs than in AFs. The most prevalent complication was access thrombosis. The functional primary patency rate was significantly higher in AF than in BG at 12-month followup: 77.7% vs 53.1% (p < 0.012). secondary patency rate was higher in AF than in BG at 1-year follow-up 62.5% vs 42.8% (p = 0.063), respectively. In addition, BGs required more interventions to preserve patency. Conclusions: AF had higher primary, secondary and overall functional patency rates and needed fewer procedures to keep patency than BGs. Cases that need early vascular access as a result of central venous catheter complications or who have a reduced life expectancy may benefit from BGs.
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| language | English |
| last_indexed | 2024-03-13T00:17:39Z |
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| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-b81ac1d8f959465f98e217696e0ab8c12023-07-11T22:52:03ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972023-07-0110.4081/aiua.2023.11455Use of Basilic vein in arteriovenous fistulas construction for hemodialysis access. Is it a good option alternative to prosthetic arteriovenous grafts?Ehab M. Abdo0Tamer A. Abouelgreed1Waleed E. Elshinawy 2Nehal Farouk3Mohamed A. Abdelaal4Hassan Ismail5Amal H. Ibrahim6Samar A. Kasem7Ahmed A. Aboomar8Department of Vascular Surgery, Faculty of Medicine, Al-Azhar University, CairoDepartment of Urology, Faculty of Medicine, Al-Azhar University, CairoDepartment of Vascular Surgery, Faculty of Medicine, Al-Azhar University, CairoDepartment of Vascular Surgery, Faculty of Medicine, Al-Azhar University, CairoDepartment of Urology, Faculty of Medicine, Al-Azhar University, CairoDepartment of Urology, Faculty of Medicine, Al-Azhar University, CairoDepartment of Internal Medicine, Nephrology Unit, Faculty Medicine, Al-Azhar University, CairoDepartment of Internal Medicine, Nephrology Unit, Faculty Medicine, Al-Azhar University, CairoDepartment of Internal Medicine, Nephrology Unit, Faculty Medicine, Tanta University, Tanta Purpose: For patients with a failed forearm autogenous fistula (AF) and an exhausted cephalic vein, there is controversy about whether a brachial basilic AF with transposition or an arteriovenous prosthetic bridging graft (BG) must be the second vascular access option. This work measured and compared these two modalities according to patency rates, complications, and revisions. Patients and methods: A retrospective study of 104 cases that had either a brachial basilic AF (72) or an Arteriovenous BG (32). Technical success, operative complications, procedurerelated mortality, maturation time, functional primary, secondary, and overall patency rates were all assessed. Results: Technical success was obtained in all participants. No procedure-linked mortality. Maturation time for BGs was significantly shorter than AFs. The complication rate was significantly higher in BGs than in AFs. The most prevalent complication was access thrombosis. The functional primary patency rate was significantly higher in AF than in BG at 12-month followup: 77.7% vs 53.1% (p < 0.012). secondary patency rate was higher in AF than in BG at 1-year follow-up 62.5% vs 42.8% (p = 0.063), respectively. In addition, BGs required more interventions to preserve patency. Conclusions: AF had higher primary, secondary and overall functional patency rates and needed fewer procedures to keep patency than BGs. Cases that need early vascular access as a result of central venous catheter complications or who have a reduced life expectancy may benefit from BGs. https://www.pagepressjournals.org/index.php/aiua/article/view/11455HemodialysisBasilic vein superficializationArteriovenous fistula |
| spellingShingle | Ehab M. Abdo Tamer A. Abouelgreed Waleed E. Elshinawy Nehal Farouk Mohamed A. Abdelaal Hassan Ismail Amal H. Ibrahim Samar A. Kasem Ahmed A. Aboomar Use of Basilic vein in arteriovenous fistulas construction for hemodialysis access. Is it a good option alternative to prosthetic arteriovenous grafts? Archivio Italiano di Urologia e Andrologia Hemodialysis Basilic vein superficialization Arteriovenous fistula |
| title | Use of Basilic vein in arteriovenous fistulas construction for hemodialysis access. Is it a good option alternative to prosthetic arteriovenous grafts? |
| title_full | Use of Basilic vein in arteriovenous fistulas construction for hemodialysis access. Is it a good option alternative to prosthetic arteriovenous grafts? |
| title_fullStr | Use of Basilic vein in arteriovenous fistulas construction for hemodialysis access. Is it a good option alternative to prosthetic arteriovenous grafts? |
| title_full_unstemmed | Use of Basilic vein in arteriovenous fistulas construction for hemodialysis access. Is it a good option alternative to prosthetic arteriovenous grafts? |
| title_short | Use of Basilic vein in arteriovenous fistulas construction for hemodialysis access. Is it a good option alternative to prosthetic arteriovenous grafts? |
| title_sort | use of basilic vein in arteriovenous fistulas construction for hemodialysis access is it a good option alternative to prosthetic arteriovenous grafts |
| topic | Hemodialysis Basilic vein superficialization Arteriovenous fistula |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/11455 |
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