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.
Kakkos
Stavros K
SK
Division of Vascular Surgery, Department of Surgery, Henry Ford Hospital, Detroi, MI 48202, USA.
Haddad
Georges K
GK
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