Vena cubiti media for creation of a loop-shaped arteriovenous fistula at the elbow region.
Hemodialysis access is one of the major routes, for patients who need long-term hemodialysis. In this report, we tried a new secondary arteriovenous fistula technique. Between January 2000 and June 2003, hemodialysis access was created in more than 650 patients with end-stage renal failure at our institution. In 15 cases a loop-shaped hemodialysis access was created between the brachial artery and vena cubiti media as a second choice. The youngest patient was 12 years old, whereas the oldest was 75. The mean follow-up period (A+/-SD) for these patients was 10.4 A+/- 2.53A months. Twelve patients are still using these fistulas successfully for hemodialysis (86.6%), whereas one patient died 7A months after the operation (6.7%). In one patient, the arteriovenous fistula failed 6A months after the operation (6.7%). Thrombosis due to hypotension occurred in two cases (13.3%) and this was resolved by simple thrombectomy. One patient had an aneurysm over the vena cubiti media (6.6%). None of the patients had an infection. These results suggest that an end-to-side anastomosis between the brachial artery and, vena cubiti media can be used as a second choice for hemodialysis access in patients with end-stage renal disease.
Gormus
Niyazi
N
Department of Cardiovascular Surgery, Meram Medical School of Selcuk University, Meram, Konya, Turkey. ngormus@selcuk.edu.tr.
Ozergin
Ufuk
U
Ozpinar
Cevat
C
Solak
Hasan
H
D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D001916:Brachial Artery / Q000601:surgery*; D002648:Child; D004550:Elbow; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis