Combined simultaneous basilic and brachial vein transposition. A new technique to create an autologous vascular access.
In this report, we present a technique to extend the function of an antecubital arteriovenous fistula in which both the basilic and the brachial veins were simultaneously transposed to create an autologous graft in the arm. This procedure may particularly be applicable for patients in whom, although a brachio-cephalic fistula, anastomosing the brachial artery and the perforating antecubital vein, has been previously performed and has remained patent arterialising the deep arm veins, the cephalic vein has failed to mature or has been thrombosed after multiple punctures. Our preliminary experience in eight patients has shown satisfactory outcome.
Kostas
T I
TI
Vascular Surgery Department, University of Crete Medical School, PO Box 1352 Voutes, 711 10 Heraklion, Crete, Greece.
Ioannou
C V
CV
Georgakarakos
E
E
Katsamouris
A N
AN
D000368:Aged; D000369:Aged, 80 and over; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D006435:Renal Dialysis; D013997:Time Factors; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D034941:Upper Extremity / Q000098:blood supply*; D014654:Vascular Patency