Outcomes for forearm and upper arm arteriovenous fistula creation with the transposition technique

Journal of Vascular Surgery
Lindsey M KoreptaPeter Y Wong

Abstract

To study the outcomes of three different types of arteriovenous fistula (AVF) transpositions (forearm cephalic vein transposition [FACVT], upper arm cephalic vein transposition [UACVT], and upper arm basilic vein transposition [UABVT]) for dialysis patients in a single center. A 6-year retrospective review, from 2006 to 2012, was conducted at a single institution in which the surgical outcomes for three different types of AVF transposition were reviewed. Preoperative duplex vein mapping was obtained in all patients to choose the best vein for access. There were 165 patients identified with 77 FACVTs, 52 UACVTs, and 36 UABVTs. Primary access maturation rates for the FACVT, UACVT, and UABVT groups were 86%, 90%, and 97%, respectively (P = .19). All transposed, matured primary AVFs were used after a mean of 9.9 weeks, without additional intervention. Primary 1-year patency for the FACVT, UACVT, and UABVT groups were 63%, 61%, and 70%, respectively (P = .71). Primary assisted 1-year patency for the FACVT, UACVT, and UABVT groups were 93%, 93%, and 100%, respectively (P > .999). Mean operating room times and time to intervention were not significantly different between the groups. The postoperative hematoma rate was 2% and wound inf...Continue Reading

References

Mar 6, 2002·Journal of Vascular Surgery·Anton N SidawyK Craig Kent
Dec 3, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Violaine BeginMartine Leblanc
Apr 28, 2004·Journal of Vascular Surgery·Rajeev K RaoFred A Weaver
Oct 24, 2008·Clinical Journal of the American Society of Nephrology : CJASN·Ivan D MayaMichael Allon
Jul 31, 2013·Journal of Vascular Surgery·Michael D SgroiThomas S Huber

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Citations

Nov 22, 2018·Journal of Clinical Nursing·Elizabeth LumleyJonathan A Michaels
Sep 2, 2019·Irish Journal of Medical Science·Andrew S KuceyBrian J Manning
Mar 24, 2021·The Journal of Vascular Access·Efstratios GeorgakarakosAliki Fiska

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