Delayed superficialization of brachiobasilic fistula: Technique and initial experience

C. M.V. Zielinski, S. K. Mittal, P. Anderson, J. Cummings, S. Fenton, J. Reiland-Smith, J. T. Frock, R. W. Dunlay

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

Hypothesis: Angioaccess procedures for dialysis have varied patency rates with frequent need for intervention. A superficialized arteriovenous brachiobasilic fistula created as a 2-step procedure will have good long-term patency with minimal complication. Design: Retrospective medical record review and patient interview. Setting: Tertiary referral university hospital. Patients: Twelve patients who underwent delayed superficialization of brachiobasilic fistula from September 1994 to April 2000. Main Outcome Measures: Patency of fistula for dialysis, and major and minor complications, including revisions. Results: Delayed superficialization of brachiobasilic fistula was performed in 12 patients. Fistulas have been used for a mean duration of 22.4 months (range, 10-59 months). Two patients required alternate access owing to thrombosis of brachiobasilic fistula. Conclusions: The delayed superficialized brachiobasilic arteriovenous fistula has a good initial patency rate with minimal complications. It should be considered early in patients if radiocephalic fistula is unavailable.

Original languageEnglish (US)
Pages (from-to)929-932
Number of pages4
JournalArchives of Surgery
Volume136
Issue number8
DOIs
StatePublished - 2001

All Science Journal Classification (ASJC) codes

  • Surgery

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