Subject Area
Vascular and Cardiothoracic surgery
Article Type
Original Study
Abstract
Abstract Authors : Mohamed ashraf elsayed elshazli, Samer abdelhamid regal MD , Hossam Mohamed Mustafa MD, Amr Mohamed Mustafa MD . Background: in our stuy , we aimed to evaluate the outcome of forearm basilc vein transposition and anastomosis to either radial or brachial areteries to create arteriovenous fistula for haemodialysis . Patient and Methods : This is an observational prospective study conducted from august 2019 to December 2020 at the Department of Vascular Surgery, Mansoura University hospital . 25 patients were selected for forearm basilic vein transposition (FBVT ) . 18 cases underwemt BB loop AVF and 7 cases underwent radiobasilic AVF . procedure was done under combined supraclavicular and local xylocaine 1% anaethesia . Basilic vein was harvested using multiple incisions then elevated and anastmosed to either radial artery in 7 cases or tunneled as aloop and anastomsed to brachial artery in 18 cases . Results: The mean age of patients who received an AVF was 56.96±9.61 years, with a range of 35 to 70 years, and included 19 men (76%) and 6 women (24%).18 cases underwemt BB looped AVF and 7 cases underwent radiobasilic AVF . patients were followed up for 1 year. 1ry patency rates at 3,6,12 months were 84% ,83.3%,82.6%. Conclusion: Radiobasilic or forearm brachiobasilic looped AVF can be used as an alternative option in case of cephalic vein inadequancy or if it was previously used for haemdialysis.
Recommended Citation
elshazli, mohamed; Regal, Samer; mustafa, hossam; and mustafa, amr
(2021)
"Use of forearm basilic vein as an option of upper limb vascular access for haemodialysis,"
Mansoura Medical Journal: Vol. 50
:
Iss.
2
, Article 4.
Available at:
https://doi.org/10.21608/mjmu.2021.81651.1019
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