Basilic vein transposition (BVT) fulfills the need for a durable conduit with high patency and maturation rates. This retrospective review examines a single group’s. Methods: We have used the transposed proximal basilic vein in 65 procedures to construct an autogenous arteriovenous fistula (AVF) to the brachial artery in To extend the availability of each extremity as an access site, we have used the transposed basilic vein for fistula construction since Our purpose is to.

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A 3-cm horizontal incision was made in antecubital fossa to expose brachial artery and basilic vein. To avoid such compilations absilic, at our institution, adopted a small incision technique using two small cm incisions. The same patient experienced a temporary sensory loss in the forearm, probably due to dissection of the cutaneous nerve away from the basilic vein.

Pre-operative tranwposition of basilic vein quality and caliber using duplex ultrasound has been increasingly advocated as a way of improving fistula outcome, particularly in terms of technical success rate. More prospective randomized studies are required to validate this small incision technique.

A single institutional review of basilic and cephalic vein transposition procedures. Please review our privacy policy.


Journal List Indian J Urol v. Basllic is an alternative method with excellent initial maturation and functional patency rates requiring less extensive skin incision and surgical dissection.

Small incision basilic vein transposition technique: A good alternative to standard method

It is the most durable hemodialysis access procedure for those patients having multiple forearm AVF surgeries. It avoids a large wound with all the risks associated with wound complications. J Vasc Surg ; The mean follow-up was six months. No bleeding, thrombosis, failure, pseudo aneurysm, or rupture occurred in our patients. The use of the native basilic vein offers certain advantages: How to cite this article: Changes in the practice of angioaccess surgery: Matured BV in subcutaneous tunnel red arrowanastomotic site incision black arrowand small longitudinal incisions with lymphorrhea green arrow.

J Royal Coll Surg Edinb. Though basilic vein transposition is well established in multiple failed fistulae’s and obese patients, it requires large incision and morbidities like edema and infection.

It requires two small cm incisions to dissect the basilic vein.

It matures early and provides a longer conduit for dialysis. Email alerts New issue alert. Comparison of basilic vein and polytetrafluoroethylene for brachial arteriovenous fistula.

The diameters and patency of the brachial, radial and ulnar arteries were determined, and cephalic and basilic vein diameter and continuity in the forearm basiluc upper arm were also assessed. This retrospective study included all the patients who underwent BVT at our tertiary care center between March and March Is basilic vein transposition a real alternative to veun arteriovenous bypass graft?


Evaluation of the efficacy of the transposed upper arm arteriovenous fistula: Support Center Support Center. Eur J Vasc Endovasc Surg ; Am J Kidney Dis ;37 1 Suppl 1: Chronic haemodialysis using venipuncture and a surgically created arteriovenous fistula.

J Am Soc Nephrol. End-stage renal disease ESRD is a significant public health problem. The incidence of thrombotic occlusion and infection is relatively low compared with prosthetic AV fistulas [ 7 — 9 ]. Saudi J Kidney Dis Transpl ; Demographics of the patients.

Small incision basilic vein transposition technique: A good alternative to standard method

Multiple longitudinal separate second skin incisions 2—3 cm were made to explore proximal part of basilic vein. Oxford University Press is a department of the University of Oxford. Long-term outcomes of brachiobasilic transposition fistula for haemodialysis.