Oj. Salgado et al., SUBCUTANEOUS TRANSPOSITION OF ARTERIALIZED UPPER ARM VEINS FOR HEMODIALYSIS ANGIOACCESS - OPTIMAL ALTERNATIVE TO GRAFTS, Vascular surgery, 32(1), 1998, pp. 81-85
The authors report 42 subcutaneous transpositions of arterialized deep
upper arm veins for hemodialysis angioaccess: 37 basilic (BaF) and 5
brachial (BrF) fistulas, done in 38 patients, 18 of them diabetics, wi
th local anesthesia. Indications for BaF and BrF creation were surgica
lly exhausted forearm veins and/or severe arteriosclerotic changes of
distal arteries. No neurologic or circulatory complications were seen.
Cumulative patency rates for all fistulas was 100% at the first month
and 82% one year after surgery. BaF and BrF are optimal autogenous al
ternatives to synthetic grafts.