Elevated basilic vein arteriovenous fistula.

Abstract:

BACKGROUND:Many surgeons continue to use prosthetic arteriovenous grafts for dialysis access despite the clear superiority of native arteriovenous fistulas. This study was undertaken to review our experience with elevated brachial-basilic fistulas as an alternative to prosthetic grafts in patients lacking veins suitable for more conventional arteriovenous fistulas. METHODS:We retrospectively reviewed the outcomes of 67 patients receiving elevated brachial-basilic arteriovenous fistulas over a 10-year period. Operative complications and causes of failure were identified and actuarial fistula patency determined. RESULTS:No patients suffered wound infections, and only 1 developed a steal syndrome in the late postoperative period. Actuarial fistula patency was 84% at 1 year, 73% at 3 and 5 years, and 52% at 10 years. CONCLUSIONS:The elevated brachial-basilic arteriovenous fistula is a superb alternative to prosthetic arteriovenous grafts in patients lacking suitable cephalic veins for native arteriovenous fistulas. Operative complications are uncommon, vascular steal is rare, and long-term patency is excellent.

journal_name

Am J Surg

authors

Humphries AL Jr,Colborn GL,Wynn JJ

doi

10.1016/s0002-9610(99)00102-6

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

489-91

issue

6

eissn

0002-9610

issn

1879-1883

pii

S0002961099001026

journal_volume

177

pub_type

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