Our experience in using the brachial venae comitantes as a native vascular access for hemodialysis.

Autor: Sha HL; Division of Vascular Surgery, Sarawak General Hospital, Kuching, Sarawak, Malaysia., Luk TL; Division of Vascular Surgery, Sarawak General Hospital, Kuching, Sarawak, Malaysia., Tee SC; Division of Vascular Surgery, Sarawak General Hospital, Kuching, Sarawak, Malaysia., Hardin R; Division of Vascular Surgery, Sarawak General Hospital, Kuching, Sarawak, Malaysia., Seak CK; Division of Vascular Surgery, Sarawak General Hospital, Kuching, Sarawak, Malaysia.
Jazyk: angličtina
Zdroj: Hemodialysis international. International Symposium on Home Hemodialysis [Hemodial Int] 2016 Apr; Vol. 20 (2), pp. 293-7. Date of Electronic Publication: 2015 Sep 28.
DOI: 10.1111/hdi.12370
Abstrakt: A native arteriovenous fistula is the preferred vascular access for patients on long-term hemodialysis. In the absence of suitable superficial veins, the deep venous system can be used. We intend to present our experience in using the brachial venae comitantes (VC) to create a native arteriovenous fistula. From January 2012 to December 2014, we utilized the brachial vena comitantes to create 12 arteriovenous fistulae. Data from these 12 subjects were analyzed retrospectively to produce this case series. The average age of our subjects was 55.6 years. Forty-two percent of the subjects were women. Fifty percent of the subjects had diabetes mellitus and 58% had hypertension. We achieved a functional patency rate of 58% at 1 month's follow up after maturation. The brachio-brachial vena comitans fistula is a safe and plausible option in patients with no other suitable veins for a native fistula, more so in the hands of experienced surgeons. The longer time to cannulation has to be taken into consideration when creating a VC fistula. In suitable patients with end-stage renal disease, it can delay the use of an arteriovenous graft or a tunneled central venous catheter.
(© 2015 International Society for Hemodialysis.)
Databáze: MEDLINE
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