2010•国际移植与血液净化杂志Requires access
The distal basilic vein transposition arteriovenous fistulas for hemodialysis access
Jing Sun, Maozhu An, Hong Zhang, Hai‐Xia Fu, Liu Xian-hua, Wei Qin, Xiaomei Liang
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Abstract
Objiective To investigate surgically created the distal basilic vein transposition arteriovenous fistulas for hemodialysis access.Methods The study reviewed consecutive patients in whom distal basilic vein transposition arteriovenous fistulas were created from December 2007 to December 2009.The basilic vein was anastomosed to the ulnar artery or was transposed and anastomosed to the radial artery or to the brachial artery.Results AVF creation was successful in 23 patients (86.7%).The blood flow were reached 200～350ml/min after operation.There are no any side significant affects on cardiac function.Conclusi ons AVFs utilizing the forearm basilic vein can be considered for primary or secondary vascular access because of the acceptable survival rate and low incidence of hand ischemia.Transposition of the basilic vein is a valuable option in the reconstruction of a thrombosed or stenosed radial-cephalic fistula.
Key words:
Forearm; Basilic vein; Transposition; Arteriovenous access