BASILIC VEIN TRANSPOSITION PDF

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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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Eur J Vasc Surgery. Recommended standards for reports dealing with arteriovenous hemodialysis accesses.

Furthermore, a small longitudinal incision is made in the axilla and the basilic vein is removed after complete circumferential tranposition and transection at the elbow level. Comparison of autogenous fistula versus expanded polytetrafluoroethylene graft fistula for angioaccess in hemodialysis.

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

To avoid such compilations we, at our institution, adopted a small incision technique using two small cm incisions. Nevertheless, an increasing number of usually elderly patients will either lack suitable vessels for BC AV fistula construction or have developed irreversible thrombosis of such a fistula.

The present study highlights our experience with BVT, with small incision transpposition, over a period of two years with excellent outcome. A single institutional review of basilic and cephalic vein transposition procedures. This oedema may hamper successful needling of the AV fistula. Saudi J Kidney Dis Transpl ; The diameters and patency of the brachial, radial and ulnar arteries were determined, and cephalic and basilic vein diameter and continuity in the forearm and upper arm were also assessed.

A total of 18 12 males and 6 females underwent BVT in the two years period.

A 3-cm horizontal incision was made in antecubital fossa to expose brachial artery and basilic vein. Please review our privacy policy. Multiple longitudinal separate second skin incisions 2—3 cm were made to explore proximal part of basilic vein.

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A total of 18 12 males and 6 females underwent BVT in the two transpositio period. The divided basilic vein in antecubital fossa was brought over fascia through newly created subcutaneous tunnel followed by end-to-side anastomosis.

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

The small incision technique for exteriorization veni the basilic vein has an added advantage of small incision, less arm edema and comparable complication rate to that of standard technique. We performed the small incision technique at our institute. The divided basilic vein in antecubital fossa was brought over fascia through newly created subcutaneous tunnel followed by end-to-side anastomosis.

Oxford University Press is a department of the University of Oxford. The present study highlights our experience with BVT, with small incision technique, over a period of two years with excellent outcome. The Brescia-Cimino wrist fistula trnsposition the procedure of choice, followed by the brachiocephalic arteriovenous fistula BCAVF formed at the elbow. Urinary mitochondrial deoxyribonucleic acid associates with delayed graft function following renal transplantation. Correspondence and offprint requests to: Basilic vein, tranpsosition, vascular access.

After lifting the skin with the hook retractors the tributaries of the vein are cut between ligatures. The proximal part of the vein remains attached to the deep vein. The mean follow-up was six months.

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View large Download slide. N Engl J Med. An especially manufactured long hook has been introduced through an incision at the level of the elbow.

The use of the native basilic vein offers certain advantages: The mean hospital admission time was 3 days range 2—4 days. Please check for further notifications by email. Pre-operative assessment of basilic vein quality and caliber using duplex ultrasound has been increasingly advocated as a way of improving fistula outcome, particularly in terms of technical success rate. The incidence of thrombotic occlusion and infection is relatively low compared with prosthetic AV fistulas [ 7 — 9 ].

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On the other hand, large incisions are needed to dissect the basilic vein from the elbow up to the axilla.

Multiple longitudinal separate second skin incisions cm were made to explore proximal part of basilic vein. This retrospective study included all the patients who underwent BVT at our tertiary care center between March and March Endoscopic versus traditional saphenous vein harvesting: Long-term outcomes of brachiobasilic transposition fistula for haemodialysis.

Three patients required re exploration due to post procedure bleeding, hematoma, and thrombosis. KDOQI clinical practice guidelines and clinical practice recommendations for updates: After dissection, the basilic vein is transposed to a subcutaneous tunnel on the anterior surface of the arm and anastomosed to the brachial artery [ 1011 ]. Footnotes Source of Support: Citing articles via Web of Science Once dissection is completed up to the axillary vein the bsasilic vein is divided at elbow and transposed in the anterior surface of the arm in the subcutaneous plane and brachio basilic side to end anastomosis is performed [ Figure 3 ].

Fourteen cases were treated with this technique from March to June It is the most durable hemodialysis access procedure for those patients having multiple forearm AVF surgeries. Support Center Support Center. Side branches of the vein were isolated and ligated. Transposed basilic vein-brachial arteriovenous fistula: Is basilic vein transposition a real alternative to an arteriovenous bypass graft?

Impact of secondary procedures in autogenous arteriovenous fistula maturation and maintenance. Email alerts New issue alert. Subsequently the anterior surface of the vein is marked to avoid rotation during tunnelling and the quality and diameter of the vein is tested by injecting saline.