Delayed Superficialization of Brachiobasilic Fistula: Technique and Initial Experience.

Autor: Zielinski, C. M. V., Mittal, Sumeet K., Anderson, Pete, Cummings, Judd, Fenton, Steve, Reiland-Smith, Julian, Frock, J. T., Dunlay, R. W.
Předmět:
Zdroj: Archives of Surgery; Aug2001, Vol. 136 Issue 8, p929, 4p
Abstrakt: Hypothesis: Angioaccess procedures for dialysis have varied patency rates with frequent need for intervention. A superficialized arteriovenous brachiobasilic fistula created as a 2-step procedure will have good long-term patency with minimal complication. Design: Retrospective medical record review and patient interview. Setting: Tertiary referral university hospital. Patients: Twelve patients who underwent delayed superficialization of brachiobasilic fistula from September 1994 to April 2000. Main Outcome Measures: Patency of fistula for dialysis, and major and minor complications, including revisions. Results: Delayed superficialization of brachiobasilic fistula was performed in 12 patients. Fistulas have been used for a mean duration of 22.4 months (range, 10-59 months). Two patients required alternate access owing to thrombosis of brachiobasilic fistula. Conclusions: The delayed superficialized brachiobasilic arteriovenous fistula has a good initial patency rate with minimal complications. It should be considered early in patients if radiocephalic fistula is unavailable. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index