title: Modified two-stage basilic vein transposition for hemodialysis access.
abstract: BACKGROUND
  Various techniques for basilic vein transposition have been described, including endovascular, 1-stage, and 2-stage transposition. However, none of these 2-stage techniques include a new arteriovenous anastomosis during the second stage. This study adds to the current literature as well as introducing a new and innovative technique for hemodialysis access.
  
  
  METHODS
  Forty-nine basilic vein transpositions were performed. Data were collected retrospectively. Primary and secondary patency was calculated using life table methods. Complications and interventions were recorded.
  
  
  RESULTS
  Primary patency was 72% at 1 year, 54% at 2 years, and 54% at 3 years. Secondary patency was 95%, 80% and 65% at 1, 2, and 3 years, respectively. Twenty-nine patients experienced complications related to the fistula, and 15 required intervention to maintain patency. Patency was achieved in 100% of the procedures using percutaneous techniques.
  
  
  CONCLUSIONS
  This 2-stage procedure should be strongly considered when planning brachial basilic fistulas for hemodialysis access.
authors.affiliation: St. John Hospital & Medical Center, Detroit, MI, USA. kari.paulson@gmail.com
authors.forename: Kari A
authors.initials: KA
authors.lastname: Paulson
authors.forename: Victor
authors.initials: V
authors.lastname: Gordon
authors.forename: Lisa
authors.initials: L
authors.lastname: Flynn
authors.forename: David
authors.initials: D
authors.lastname: Lorelli
mesh_terms: D000328:Adult; D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D015993:Life Tables; D008297:Male; D008875:Middle Aged; D012039:Regional Blood Flow; D006435:Renal Dialysis; D012189:Retrospective Studies; D034941:Upper Extremity / Q000098:blood supply*; D014654:Vascular Patency; D014680:Veins / Q000601:surgery