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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Transposed basilic vein-brachial arteriovenous fistula: How to cite this article: Pre-operative assessment 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 trransposition.

Demographics of the patients. Recommended standards for reports dealing with arteriovenous hemodialysis accesses.

View on the arm of the patient. And certainly the most important advantage of this minimally invasive technique is the fact that patients have no or only slight pain after the operation. Am J Kidney Dis ;37 1 Suppl 1: The mean age was An unintended consequence of exceeding dialysis outcome quality Initiative guidelines for hemodialysis access.


The diameters and patency of the brachial, radial and ulnar arteries were determined, and cephalic and basilic vein diameter and continuity in the forearm and upper arm were also assessed. Short-term effect of the New Nordic Renal Diet on phosphorus homoeostasis in chronic kidney disease Stages 3 and 4.

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

What is the optimal technique? Click here to view. The need for reliable, long-term hemodialysis vascular access remains critical. We performed the small incision technique at our institute. Impact of dialysis outcome and quality initiative recommendations. It is the most durable hemodialysis access basiilic for those patients having multiple forearm AVF surgeries. Therefore, it has escaped the damage inflicted by repeated iatrogenic vein punctures or intravenous lines.

After dissection, the basilic vein is transposed to a subcutaneous tunnel on the anterior surface of the arm and anastomosed to the brachial artery [ 1011 ].

Please review our privacy policy. One patient developed a haematoma in the subcutaneous tunnel, necessitating surgical exploration with salvage of the access.

After dissecting the basilic vein up to axillary vein, it is cut in the cubital fossa and bqsilic into the subcutaneous tissue by multiple small incisions. Staged basilic vein transposition for dialysis angioaccess. Side bxsilic of the vein were isolated and ligated.


This method is inspired by videoendoscopic minimally invasive method used to dissect the basilic vein, thus avoiding extensive dissection and related morbidities.

Basilic vein is dissected after a 3 cm incision over the medial aspect of the cubital fossa [ Figure 3 ] and dissecting towards the arm.

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Footnotes Source of Support: How to cite this URL: At one year follow-up, mean primary patency rates was A mean of 4. No bleeding, thrombosis, failure, pseudo aneurysm, or rupture occurred in our patients. Sign In or Create an Account.

Furthermore, a small longitudinal incision is made in the axilla and the basilic vein is removed after complete circumferential dissection and transection at the elbow level. Long-term outcomes of brachiobasilic transposition fistula for haemodialysis.

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

View large Download slide. The upper arm AV hemoaccess: Completion angiography is performed to determine technical problems. Add comment Close comment form modal.