https://doi.org/10.4081/aiua.2023.11455

Use of Basilic vein in arteriovenous fistulas construction for hemodialysis access. Is it a good option alternative to prosthetic arteriovenous grafts?

Vol. 95 No. 3 (2023)
Submitted: May 11, 2023
Accepted: June 8, 2023
Published: July 11, 2023
Hemodialysis, Basilic vein superficialization, Arteriovenous fistula
Abstract Views: 771
PDF: 397
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Authors

Ehab M. Abdo
https://orcid.org/0000-0003-1403-452X
Department of Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Tamer A. Abouelgreed
dr_tamer_ali@yahoo.com
https://orcid.org/0000-0003-2640-3425
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Waleed E. Elshinawy
Department of Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Nehal Farouk
Department of Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed A. Abdelaal
https://orcid.org/0000-0003-0349-941X
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hassan Ismail
https://orcid.org/0000-0002-0038-3078
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Amal H. Ibrahim
Department of Internal Medicine, Nephrology Unit, Faculty Medicine, Al-Azhar University, Cairo, Egypt.
Samar A. Kasem
Department of Internal Medicine, Nephrology Unit, Faculty Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed A. Aboomar
Department of Internal Medicine, Nephrology Unit, Faculty Medicine, Tanta University, Tanta, Egypt.

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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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Maaz Abbasi, Glenn M Chertow, and Yoshio N Hall. End-stage renal disease. BMJ. 2010; 7:1-16.
Michael B. Silva, JR and Brajesh K.LAL. Decision making in vascular surgery by Jack L. Cronenwett, and Robert B. Rutherford. Copyright 2001. Chapter 72:354-359.
Kherlakian GM, Roedersheimer LR, Arbaugh JJ, et al. Comparison of autogenous fistula versus expanded polytetrafluoroethylene graft fistula for angioaccess in hemodialysis. Am J Surg. 1986; 152:238-243.
Vascular Access Work Group, “Clinical practice guidelines for vascular access,” Am J Kidney Dis. 2006; 48:248-273. DOI: https://doi.org/10.1053/j.ajkd.2006.04.040
Oliver MJ, McCann RL, Indridason OS, Butterly DW. Comparison of transposed brachiobasilic fistulas to upper arm grafts and brachiocephalic fistulas. Kidney Int. 2001; 60:1532-1539.
Hakaim AG, Nalbandian M, Scott T. Superior maturation and patency of primary brachiocephalic and transposed basilic vein arteriovenous fistulae in patients with diabetes. J. Vasc. Surg. 1998; 27:154-157. DOI: https://doi.org/10.1016/S0741-5214(98)70302-7
Oliver MJ, McCann RL, Indridason OS, et al. Comparison of a transposed brachiobasilic fistula to upper arm grafts and brachiocephalic fistulas. Kidney Int 2001; 60:1532-1539. DOI: https://doi.org/10.1046/j.1523-1755.2001.00956.x
Brescia MJ, Cimino JE, Apple K, Hurwich BJ. Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. N Engl J Med. 1966; 275:1089-1092. DOI: https://doi.org/10.1056/NEJM196611172752002
Bender MHM, Bruyninckx CMA, Gerlag PGG. The brachiocephalic elbow fistula: a useful alternative angioaccess for permanent hemodialysis. J Vasc Surg. 1994; 20:808-813. DOI: https://doi.org/10.1016/S0741-5214(94)70168-7
Kherlakian GM, Roedersheimer LR, Arbaugh JJ, et al. Comparison of autogenous fistula versus expanded polytetrafluoroethylene graft fistula for angioaccess in hemodialysis. Am J Surg. 1986; 152:238-2343. DOI: https://doi.org/10.1016/0002-9610(86)90249-7
Benedetto BJ, Madden RL, Kurbanov A, Lipkowitz GS. Transposed basilic vein fistula: a superior alternative to prosthetic grafts? Curr Surg. 2000; 57:503-504. DOI: https://doi.org/10.1016/S0149-7944(00)00338-X
M.A. Frances D, Yufan LU, Amanda J. Robertson, Robert J. Millar and Jayne Amy. Two-stage brachiobasilic arteriovenous fistula for chronic hemodialysis access. ANZ J. Surg. 2007; 77:150-151. DOI: https://doi.org/10.1111/j.1445-2197.2006.03996.x
Hussain Gadelkarim Ahmed, Tahani Altamimi. Survey for potential risk factors for susceptibility to chronic kidney disease in Hail region, in KSA. Management in health XVII/122013; pp. 31-36.
Kumar A, Sinha S, Sharma AK. Long-term results of arteriovenous fistulas using transposed autologous basilic vein. Br J Surg. 2000; 87:1735-1736. DOI: https://doi.org/10.1046/j.1365-2168.2000.01689-12.x
Taghizadeh A, Dasgupta P, Khan MS, et al. Long-term outcomes of brachiobasilic transposition fistula for hemodialysis. Eur J Vasc Endovasc Surg. 2003; 26:670-672. DOI: https://doi.org/10.1016/j.ejvs.2003.09.002
Sgroi MD, Patel MS, Wilson SE, et al. The optimal initial choice for permanent arteriovenous hemodialysis access. J Vasc Surg. 2013; 58:539-548. DOI: https://doi.org/10.1016/j.jvs.2013.04.058
Hayakawa K, Tsuha M, Aoyagi T, et al. New method to create a vascular arteriovenous fistula in the arm with an endoscopic technique. J Vasc Surg. 2002; 36:635-638. DOI: https://doi.org/10.1067/mva.2002.126562
Chieh-Hung Lee, Po-Jen Ko, Yun-Hen Liu, et al. Brachiobasilic Fistula as a Secondary Access Procedure: An Alternative to a Dialysis Prosthetic Graft. Chang Gung Med J. 2004; 27:816-23.
Murphy GJ, White SA, Knight AJ, et al. Long-term results of arteriovenous fistulas using transposed autologous basilic vein. Br J Surg. 2000; 87:819-23. DOI: https://doi.org/10.1046/j.1365-2168.2000.01435.x

How to Cite

Abdo, E. M., Abouelgreed, T. A., Elshinawy , W. E., Farouk, N., Abdelaal, M. A., Ismail, H., Ibrahim, A. H., Kasem, S. A., & Aboomar, A. A. (2023). 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, 95(3). https://doi.org/10.4081/aiua.2023.11455
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