Transposed basilic vein versus polytetrafluorethylene for brachial-axillary arteriovenous fistulas.
BACKGROUND
Both transposed basilic vein (BV) and polytetrafluorethylene (PTFE) upper arm arteriovenous fistulas (AVF) are common angioaccess operations. To evaluate the patency and complication rates after AVF, a concurrent series of patients was reviewed.


METHODS
Ninety-eight patients underwent brachial artery to axillary vein AVF: 30 BV and 68 PTFE. The PTFE grafts were performed in the standard fashion, whereas the basilic veins were translocated subcutaneously to the brachial artery.


RESULTS
Risk factors were similar between the two groups. Basilic vein AVF had better patency at 24 months (70% BV versus 46% PTFE, P = 0.023). The dialysis access complications were higher in the BV group (20%) versus PTFE (5%), but the PTFE group had a higher infection rate (10%) than BV (0%).


CONCLUSIONS
The primary and secondary patency rates were superior in the BV AVFs. The BV AVF preserves the venous outflow tract after AVF thrombosis for a future PTFE AVF operation.
Matsuura
J H
JH
Department of Surgery, Georgia Baptist Medical Center, Medical College of Georgia, Atlanta, USA.
Rosenthal
D
D
Clark
M
M
Shuler
F W
FW
Kirby
L
L
Shotwell
M
M
Purvis
J
J
Pallos
L L
LL
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects / Q000379:methods*; D001367:Axillary Vein; D001916:Brachial Artery; D005260:Female; D005542:Forearm / Q000098:blood supply; D006225:Hand / Q000098:blood supply; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D012307:Risk Factors; D013997:Time Factors; D014654:Vascular Patency; D014680:Veins / Q000601:surgery
D011138:Polytetrafluoroethylene