Transposition, elevation, lipectomy and V-Wing for easy needling

The Journal of Vascular Access
Pierre BourquelotNicola Pirozzi

Abstract

The purpose of this study is to report surgical techniques to facilitate cannulation of deep matured veins. 1) Basilic vein tunnel superficialization with rerouting in an anterior tunnel is mandatory for brachial-basilic arteriovenous fistula (AVF), mostly performed in a second surgical stage. The elevation technique, which could necessitate cannulation of the vein through the overlying scar, is not advisable. 2) Femoral vein superficialization is a one-stage surgical operation. Complications of this high-flow AVF are distal ischemia (diabetes and occlusive arterial disease are contraindications), iliac vein stenosis due to intimal hypertrophy and cardiac issues. Nevertheless, we have achieved high long-term patency rates (N = 70). Primary patency rates at 1 and 9 years were 91% ± 4% and 45% ± 11%, respectively. Secondary patency rates at 1 and 9 years were 84% ± 5% and 56% ± 9%, respectively. 3) Lipectomy for superficialization of the forearm radial-cephalic AVF is described for obese patients. Subcutaneous tissues are resected using two transverse incisions. Mobilization of the vein is avoided. At 3 years (N = 49), we recorded 63% ± 8% and 88% ± 7% primary and secondary patency rates, respectively. Anterior transposition of t...Continue Reading

References

Mar 1, 1990·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·P BourquelotM Broyer
Jan 10, 1998·Journal of Vascular Surgery·M B SilvaF T Padberg
May 13, 2008·Journal of the American College of Surgeons·Cathy M BronderSpence M Taylor
Jul 15, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G A AntoniouA D Giannoukas
Apr 5, 2012·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Carlo Basile, Carlo Lomonte
May 12, 2012·Journal of Vascular Surgery·Pierre BourquelotGilbert Franco
May 9, 2014·The Journal of Vascular Access·Eric D LadenheimSanah Parvez

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Citations

Oct 11, 2015·Journal of the American College of Surgeons·C Miles MaliskaAlexandros Mallios
Jun 28, 2016·Journal of Nephrology·Giacomo FornerisDario Roccatello
Jul 20, 2018·VASA. Zeitschrift für Gefässkrankheiten·Gabor Cs NagyMatthias Wunsch
Jan 30, 2020·The Journal of Vascular Access·Danielle Fontenot, Karl A Illig
Dec 7, 2017·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Vasiliki KaravaPierre Bourquelot
Jun 2, 2020·Annals of Vascular Surgery·Danielle T FontenotKarl A Illig

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Methods Mentioned

BETA
percutaneous angioplasty
dissection

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