Document Detail

Relationship of preoperative venous and arterial imaging findings to outcomes of brachio-basilic transposition fistulae for hemodialysis: a prospective clinical study.
MedLine Citation:
PMID:  17920305     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To evaluate the maturation and patency of transposed brachio-basilic fistulae that had been chosen based on the results of preoperative imaging techniques. METHODS: Among 215 patients admitted to our clinic requiring arteriovenous fistulae between May 2004 and September 2005, 59 were scheduled for a transposed brachio-basilic fistula procedure. The relationship between demographic data, laboratory values, invasive and noninvasive imaging studies with patency and maturation time of the fistulae were evaluated by univariate analyses. RESULTS: Primary and secondary patency rates were 82% and 97% at 6 months 72% and 92% at one year respectively. The only parameter found to affect maturation time was basilic vein diameter. The maturation time was 59.3+/-22.3 days (range 32-92 days) for veins less than 3mm in diameter and 24.7+/-4.4 days (range, 21 to 34 days) for those with larger diameters. The number of previously failed fistulae correlated with a decrease in primary patency time. The primary patency rate at 1 year was 58.9% for patients whose preoperative arterial flow rate was below 70cm/sec, while it was 93.3% when the flow was greater. CONCLUSION: We believe that this type of fistula should be the first option in patients in whom the cephalic vein is inappropriate for a vascular access. Preoperative evaluation of the arterial system as well as a history of previous access failure may be considered predictive parameters for the patency of the fistulae.
F Y Karakayali; S Sevmis; C Basaran; H Yabanoglu; Z Arat; F Boyvat; M Haberal
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2007-10-24
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  35     ISSN:  1532-2165     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-01     Completed Date:  2008-02-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  208-13     Citation Subset:  IM    
Başkent University Faculty of Medicine, Department of General Surgery, Ankara, Turkey.
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MeSH Terms
Aged, 80 and over
Angiography, Digital Subtraction
Arm / blood supply*
Arteriovenous Shunt, Surgical* / adverse effects
Blood Flow Velocity
Blood Pressure
Brachial Artery / pathology,  physiopathology,  surgery*
Kidney Failure, Chronic / therapy*
Middle Aged
Patient Selection*
Preoperative Care
Prospective Studies
Regional Blood Flow
Renal Dialysis*
Time Factors
Treatment Outcome
Ultrasonography, Doppler
Vascular Patency*
Veins / pathology,  physiopathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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