Document Detail

The secondary hemodialysis vascular access created through the basilic vein transition on the forearm.
MedLine Citation:
PMID:  11977348     Owner:  NLM     Status:  MEDLINE    
Hemodialysis vascular access related problems account for most hospitalizations in chronic hemodialysis patients. Having exhausted classic, primary radio-cephalic fistula on the forearm the secondary vascular access can be created. The secondary access was achieved through a subcutaneous displacement of the basilic vein and through surgical creation of end-to-end fistula between this venous and radial artery on the forearm. The subject of the study were eight patients undergoing chronic hemodialysis. In all patients the type of anastomosis and early and late complications were studied. The preferred route for exposure of the basilic vein was making the single incision along the forearm. Next, the basilic vein was transferred to the subcutaneous tunnel on the anterior side of the forearm. In four cases the classic end-to end anastomosis between the basilic vein and radial artery was performed. In other four patients, the telescopic method of fistula creation was done. In all eight cases the regular flow was observed. In postoperative period no complications were noted.
K Janicki; R Pietura; E Radzikowska; B Madej; J Bicki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina     Volume:  56     ISSN:  0066-2240     ISO Abbreviation:  Ann Univ Mariae Curie Sklodowska Med     Publication Date:  2001  
Date Detail:
Created Date:  2002-04-29     Completed Date:  2002-06-19     Revised Date:  2009-06-05    
Medline Journal Info:
Nlm Unique ID:  0414101     Medline TA:  Ann Univ Mariae Curie Sklodowska Med     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  403-6     Citation Subset:  IM    
1st Department of Surgery and Transplantology, Medical University of Lublin.
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MeSH Terms
Anastomosis, Surgical / methods
Catheters, Indwelling*
Forearm / blood supply*
Renal Dialysis / methods*

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