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Başlık: Long-term outcomes of basilic vein transposition fistula for hemodialysis
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Kalp ve Damar Cerrahisi Anabilim Dalı.
Yılmaz, Mert
Şenkaya, Işık
Saba, Deniz
Biçer, Murat
57220839864
6603498369
6603339291
6507770944
Anahtar kelimeler: Brachial-basilic fistula
Basilic vein transposition
Hemodialysis vascular access
Arteriovenous-fistulas
Cardiovascular system & cardiology
Yayın Tarihi: Şub-2007
Yayıncı: Hogrefe Ag
Atıf: Yılmaz, M. vd. (2007). "Long-term outcomes of basilic vein transposition fistula for hemodialysis". Vasa, 36 (1), 29-32.
Özet: There has been a dramatic increase in both the availability of hemodialysis and long-term survival of patients with chronic renal failure. Patients who require long-term hemodialysis need long-term vascular access. The transposed autologous basilic vein to brachial artery arteriovenous fistula provides vascular access in the absence of adequate superficial vein. Patients and methods: We follow an aggressive "all-autogenous" policy with regard to dialysis access and recommend prosthetic graft when autogenous options are exhausted. A retrospective analysis was performed of consecutive patients who underwent basilic vein transposition for hemodialysis access between January 2000 and March 2004. Mean follow-up was 21 months (range, 4 to 32 months). Results: A retrospective review of 42 patients undergoing basilic vein transposition was performed. 18 of the patients were men and 24 patients were women. The mean age was 34.6 ± 12.9 (mean ± SD) years. Most of the patients were already receiving hemodialysis (92%), with a mean of 2.2 (range, 1 to 4) previous access attempts. Maturation rate was 85.7%. Primary patency rates were 71.4%, 54.7% and secondary (overall) patency rates were 88.0%, 64.2% at the end of the first and second years, respectively. Complications developed in 23 (54.7%) cases, and included arm edema, thrombosis, hematoma, infection, steal syndrome, poor flow and aneurysm formation. Conclusion: Transposed brachial-basilic fistula have a good long-term patency rate and should be considered early, before prosthetic grafting, in the absence of a suitable superficial vein.
Die Verwendung der autologen V. basilica stellt eine Möglichkeit dar, eine arteriovenöse Fistel zu bilden, wenn eine adäquate oberflächliche Vene fehlt. Patienten und Methoden: Wir verwenden grundsätzlich autologes Venenmaterial für den Dialysezugang. Gefäßprothesen werden nur genommen, wenn alle autologen Möglichkeiten ausgeschöpft sind. Wir haben retrospektiv alle Patienten ausgewertet, die zwischen Januar 2000 und März 2004 eine Basilicatransposition bekommen haben. Die mittlere Nachbeobachtungszeit betrug 21 Monate (4 bis 32 Monate). Ergebnisse: Wir behandelten 42 Patienten, 18 Männer und 24 Frauen, im mittleren Alter von 34.6 ± 12.9 Jahren. Die meisten (92%) wurden bereits dialysiert. Im Durchschnitt hatten sie bereits 2.2 (1 bis 4) Fisteloperationen gehabt. 85.7% der Shunts waren ausgereift. Primäre Durchgängigkeitsraten nach ein und zwei Jahren waren 71.4% und 54.7%, sekundäre Durchgängigkeitsraten waren 88.0% und 64.2%. In 23 Fällen (54.7%) traten Komplikationen auf (Armödeme, Thrombose, Hämatome, Infektion, Stealsyndrom, schlechter Fluß und Aneurysma). Schlußfolgerung: Die AV Fistel unter Verwendung einer transponierten V. basilica hat eine gute langfristige Durchgängigkeitsrate und sollte bevor eine Gefäßprothese verwendet wird durchgeführt werden, wenn eine passende oberflächliche Vene fehlt.
URI: https://doi.org/10.1024/0301-1526.36.1.29
https://econtent.hogrefe.com/doi/epdf/10.1024/0301-1526.36.1.29
http://hdl.handle.net/11452/31039
ISSN: 0301-1526
Koleksiyonlarda Görünür:PubMed
Scopus
Web of Science

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