Two-stage combined basilic-brachial vein transposition.
In the present report, we describe a two-stage technique of combined basilic and brachial vein transposition. Our patient had a brachial-basilic vein fistula created, but during the second stage for the transposition, a low basilic-brachial vein confluence was found. Instead of abandoning the procedure, the brachial vein was mobilized and transposed to primarily constitute a usable fistula, which subsequently was successfully used for hemodialysis. A detailed description of our technique is provided. Surgeons should be aware of this alternative procedure to maximize fistula creation rates.
Division of Vascular Surgery, Department of Surgery, Henry Ford Hospital, Detroi, MI 48202, USA.
Stavros K
SK
Kakkos
Georges K
GK
Haddad
D000368:Aged; D001132:Arm / Q000098:blood supply*; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D002408:Catheters, Indwelling; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery; D006435:Renal Dialysis; D016896:Treatment Outcome; D014654:Vascular Patency; D014680:Veins / Q000601:surgery