Unrecognized high brachial artery bifurcation is associated with higher rate of dialysis access failure.

Abstract:

:A thorough consideration of all factors contributing to successful dialysis access creation is necessary to achieve optimal outcomes. A high bifurcation of the brachial artery (brachioradial variant) occurs in greater than 20% of patients. Dialysis access was created in 22 limbs with this variant--15 fistula, and 7 prosthetic grafts. Nonmaturation occurred in 33% of fistula. Early thromboses occurred in 29% of prosthetic bridge grafts. In this experience, the brachioradial variant is associated with a relatively higher rate of fistula nonmaturation and prosthetic graft thromboses. These findings reinforce the critical role of preoperative imaging studies in dialysis access creation. A sound algorithm for the surgical management of the brachioradial variation facilitates decision making and will improve dialysis access outcomes.

journal_name

Semin Dial

journal_title

Seminars in dialysis

authors

Kirksey L

doi

10.1111/j.1525-139X.2011.00923.x

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

698-702

issue

6

eissn

0894-0959

issn

1525-139X

journal_volume

24

pub_type

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