title: Radiobasilic Versus Brachiobasilic Transposition on the Upper Arm to Avoid Steal Syndrome.
abstract: BACKGROUND
  Although the proximal radial artery has been reported as an alternative inflow to prevent steal syndrome, brachiobasilic fistula has been reported to be associated with steal syndrome in 10-20% of cases. We aimed to compare proximal radiobasilic arteriovenous fistula (AVF) with brachiobasilic AVFs on the upper arm in terms of steal syndrome and outcomes.
  
  
  METHODS
  We used our institutional operative record database to identify 94 patients in whom brachiobasilic AVF (n=40) and radiobasilic AVF (n=54) were placed between January 2009 and December 2013. Postoperative complications such as steal syndrome, venous hypertension, and aneurysm were recorded.
  
  
  RESULTS
  Steal syndrome was determined to occur less frequently in the radiobasilic AVF group (0% vs. 10%, P=0.03). The rates of other complications (bleeding, aneurysm, venous hypertension) between the 2 groups were similar, as were the patency rates.
  
  
  CONCLUSIONS
  Radiobasilic AVF was effective in reducing steal syndrome, with similar early and late outcomes.
authors.affiliation: Department of Cardiovascular Surgery, Medical Faculty of Duzce University, Duzce, Turkey.
authors.forename: Okay Guven
authors.initials: OG
authors.lastname: Karaca
authors.affiliation: Department of Cardiovascular Surgery, Konya Training and Research Hospital, Konya, Turkey.
authors.forename: Ahmet Nihat
authors.initials: AN
authors.lastname: Basal
authors.affiliation: Department of Cardiovascular Surgery, Konya Training and Research Hospital, Konya, Turkey.
authors.forename: Ata Niyazi
authors.initials: AN
authors.lastname: Ecevit
authors.affiliation: Department of Cardiovascular Surgery, Konya Training and Research Hospital, Konya, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kalender
authors.affiliation: Department of Cardiovascular Surgery, Medical Faculty of Afyon Kocatepe University, Afyon, Turkey.
authors.forename: Osman Tansel
authors.initials: OT
authors.lastname: Darcin
authors.affiliation: Department of Biostatistics and Medical Informatics, Medical Faculty of Duzce University, Duzce, Turkey.
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Sungur
mesh_terms: D000328:Adult; D000368:Aged; D000783:Aneurysm; D001132:Arm; D001163:Arteriovenous Anastomosis; D001164:Arteriovenous Fistula / Q000601:surgery / Q000628:therapy*; D001166:Arteriovenous Shunt, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012189:Retrospective Studies; D013349:Subclavian Steal Syndrome / Q000517:prevention & control*; D016896:Treatment Outcome; D014654:Vascular Patency