Efficacy of the Ulnar-Basilic Arteriovenous Fistula for Hemodialysis: A Systematic Review

Annals of Vascular Surgery
Julien Al ShakarchiN Inston

Abstract

The fistula first initiative has promoted arteriovenous fistulas (AVFs) as the vascular access of choice. To preserve as many future access options as possible, multiple guidelines advocate that the most distal AVF possible should be created in the first place. Generally, snuff box and radiocephalic (RC) are accepted and well-described sites for AVFs; however, the forearm ulnar-basilic (UB) AVF is seldom used or recommended. The aim of this study is to assess and systematically review the evidence base for the creation of the UB fistula and to critically appraise whether more attention should be given to this site. Electronic databases were searched for studies involving the creation of UB fistulas for dialysis in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The primary outcomes for this study were 1-year primary and secondary patency rates. Secondary outcomes were rates of hemodialysis access-induced distal ischemia (HAIDI) and infection. After strict inclusion and/or exclusion criteria by 2 reviewers, 8 studies were included in our review. Weighted-pooled data reveal 1-year primary patency rate for UB AVFs of 53.0% (95% confidence interval [CI]: 40.1-65.8%) with a sec...Continue Reading

References

Mar 9, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L WolowczykC P Gibbons
Mar 11, 2004·Seminars in Vascular Surgery·Harry Schanzer, David Eisenberg
Jun 24, 2004·Artificial Organs·Octavio J SalgadoCarlos Henríquez
Nov 9, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P P G M RooijensT I Yo
May 18, 2007·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Jan TordoirRaymond Vanholder
May 1, 2009·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Marc R ScheltingaCornelis Maria Adrianus Bruijninckx
Sep 15, 2009·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Ana NatárioAlbert Mouton
Jun 1, 2009·Seminars in Interventional Radiology·Rakesh Navuluri, Sidney Regalado
Sep 18, 2012·Annals of Vascular Surgery·Wing LiuChristopher J Callaghan
Oct 9, 2013·The Journal of Vascular Access·Sadanori ShintakuShinichiro Tsuchiya
Nov 5, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Ahmed A Al-JaishiLouise M Moist

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Citations

Jan 12, 2017·Hemodialysis International·António Norton de MatosSérgio Teixeira
Mar 29, 2018·The Journal of Vascular Access·Maciej ZielinskiGrzegorz Oszkinis
Mar 25, 2021·Seminars in Vascular Surgery·Ryan GuptaJeniann A Yi
Aug 11, 2020·Journal of Vascular Surgery Cases and Innovative Techniques·Ganesh RamakrishnanSharvil U Sheth

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