پیامد جابجايي وريد basilic در فيستول brachiobasilic در بیماران نارسایی کلیوی مزمن

کاکایی, فرزاد and حسن خانی, احد and سید صادقی, میرسلیم and ویرانی, پیمان and اسودی کرمانی, تورج and زرین تن, سینا (1396) پیامد جابجايي وريد basilic در فيستول brachiobasilic در بیماران نارسایی کلیوی مزمن. International Journal of Surgery ــ 44 (2017). pp. 76-81. شاپا 1743-9191

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Outcomes of relocation of basilic vein in brachiobasilic fistulas in chronic renal failure

English Abstract

Background :In patients without or with injured cephalic vein, using the basilic vein for creating arteriovenous fistula (AVF) is the best way for hemodialysis. In order to create AVF, the basilic vein should be superficialized and lateralized. This study sought to examine outcome of relocation of basilic vein in brachiobasilic fistulas in patients with chronic renal failure (CRF).Methods We evaluated the outcome of creation of brachiobasilic fistula with transposition of basilic vein in 27 patients (14 males and 13 females with mean age of 60.03 ± 8.04 years) with CRF. The success rate and complications were recorded during the follow-up period. The fistula was regarded efficient if cannulation was feasible conveniently and a minimum flow rate of 250 ml/min for 4 h at least for 3 consecutive hemodialysis sessions through both lines was documented 30 days postoperatively.Results the mean time gap between previous AVF creation or try and the relocation of basilic vein was 3.55 months. Thirty days postoperatively, 85.2% of the created AVFs were efficiently working. There were postoperative complications in 40.7% of patients including venous hypertension (14.8%), bleeding (7.4%), hematoma (7.4%) and distal paresthesia (11.1%).Conclusions Brachiobasilic AVF fistula provides a suitable option for vascular access in cases with failed previous AVF. Relocation of basilic vein for brachiobasilic AVF is technically feasible, safe and with excellent patency in short-term and complication rates are acceptable.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :فرزاد کاکایی
نویسنده :احد حسن خانی
نویسنده :میرسلیم سید صادقی
نویسنده :پیمان ویرانی
نویسنده :تورج اسودی کرمانی
نویسنده مسئول :سینا زرین تن
Additional Information:Impact Factor (2016): 2.693 Indexed in: ISI, PubMed/Medline, Scopus, Embase
کلیدواژه ها (انگلیسی):Brachiobasilic fistula; Hemodialysis; Patency; Complications
Subjects:WO Surgery
Divisions:Faculty of Medicine > Department of Surgery
ID Code:9281
Deposited By: Ms Zeynab Imani
Deposited On:02 Aug 1396 11:03
Last Modified:19 Sep 1399 11:26

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