Unusual Vascular Access for Hemodialysis: Transposed Venae Comitante of the Brachial Artery
The National Kidney Foundation Dialysis Outcomes Quality Initiative guidelines favor autogenous vein for arteriovenous fistulas. This report describes our technique and results of arteriovenous fistulas between brachial artery and its transposed venae comitantes. The procedure was done in two stages...
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| Veröffentlicht in: | Annals of vascular surgery 2007-09, Vol.21 (5), p.560-563 |
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| creator | Elwakeel, Hossam A Saad, Ehab M Elkiran, Yasser M Awad, Ibrahim |
| description | The National Kidney Foundation Dialysis Outcomes Quality Initiative guidelines favor autogenous vein for arteriovenous fistulas. This report describes our technique and results of arteriovenous fistulas between brachial artery and its transposed venae comitantes. The procedure was done in two stages, first anastomosis between brachial artery at the elbow and one of its venae comitantes and, 1 month later, transposition of the vein to a subcutaneous tunnel. The study included 21 patients (15 males, six females), nine of whom were diabetic, with a mean age of 53 years. The cumulative primary patency rate was (75.89%) at 1 year and (55.34%) at 2 years. Complications developed in 11/21 fistulas, including thrombosis, infection, aneurysm formation, and nonmaturation of the vein. Brachial artery to its transposed venae comitante fistula is an alternative access which can be used as a tertiary autogenous access. |
| doi_str_mv | 10.1016/j.avsg.2007.03.026 |
| format | Article |
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This report describes our technique and results of arteriovenous fistulas between brachial artery and its transposed venae comitantes. The procedure was done in two stages, first anastomosis between brachial artery at the elbow and one of its venae comitantes and, 1 month later, transposition of the vein to a subcutaneous tunnel. The study included 21 patients (15 males, six females), nine of whom were diabetic, with a mean age of 53 years. The cumulative primary patency rate was (75.89%) at 1 year and (55.34%) at 2 years. Complications developed in 11/21 fistulas, including thrombosis, infection, aneurysm formation, and nonmaturation of the vein. 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This report describes our technique and results of arteriovenous fistulas between brachial artery and its transposed venae comitantes. The procedure was done in two stages, first anastomosis between brachial artery at the elbow and one of its venae comitantes and, 1 month later, transposition of the vein to a subcutaneous tunnel. The study included 21 patients (15 males, six females), nine of whom were diabetic, with a mean age of 53 years. The cumulative primary patency rate was (75.89%) at 1 year and (55.34%) at 2 years. Complications developed in 11/21 fistulas, including thrombosis, infection, aneurysm formation, and nonmaturation of the vein. Brachial artery to its transposed venae comitante fistula is an alternative access which can be used as a tertiary autogenous access.</description><subject>Adult</subject><subject>Aged</subject><subject>Aneurysm - etiology</subject><subject>Arteriovenous Shunt, Surgical - adverse effects</subject><subject>Arteriovenous Shunt, Surgical - methods</subject><subject>Brachial Artery - surgery</subject><subject>Catheters, Indwelling</subject><subject>Elbow - blood supply</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Forearm - blood supply</subject><subject>Hematoma - etiology</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Renal Dialysis - methods</subject><subject>Surgery</subject><subject>Surgical Wound Infection - etiology</subject><subject>Thrombosis - etiology</subject><subject>Treatment Outcome</subject><subject>Vascular Patency - physiology</subject><subject>Veins - surgery</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcGL1DAUxoMo7rj6D3iQnLy1viRtmooI4-DuCgse3F0EDyGbvLoZO82Y1y7Mf2_LDAgePL3L7_vg_T7GXgsoBQj9blu6R_pZSoCmBFWC1E_YSmhRF3VbNU_ZCkwLRQ2tPmMviLYAQprKPGdnojFSgWpX7MftMNHken7nyE-9y3ztPRLxLmV-hbsUousPFOk9v8luoH0iDPwOB4d8k3ZxdMOIPHV8fED-KTv_MPN8nUfMh5fsWed6wlene85uLz7fbK6K66-XXzbr68JX0I6FDwa7OjRgVN3UGqFTdSWEqVWnHBr0beU0CtOBCSIIJ50Ijah0aLS-VzKoc_b22LvP6feENNpdJI997wZME1ltZCVBtjMoj6DPiShjZ_c57lw-WAF2UWq3dlFqF6UWlJ2VzqE3p_bpfofhb-TkcAY-HAGcf3yMmC35iIPHEDP60YYU_9__8Z-47-MQvet_4QFpm6Y8zPassCQt2G_LqMum0Mx7Gviu_gBCjJzF</recordid><startdate>20070901</startdate><enddate>20070901</enddate><creator>Elwakeel, Hossam A</creator><creator>Saad, Ehab M</creator><creator>Elkiran, Yasser M</creator><creator>Awad, Ibrahim</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070901</creationdate><title>Unusual Vascular Access for Hemodialysis: Transposed Venae Comitante of the Brachial Artery</title><author>Elwakeel, Hossam A ; Saad, Ehab M ; Elkiran, Yasser M ; Awad, Ibrahim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-cd8ef5d70835756e0f35411853f3ae8ec94a6e18f08d1d1a2a1d7146d766b32d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aneurysm - etiology</topic><topic>Arteriovenous Shunt, Surgical - adverse effects</topic><topic>Arteriovenous Shunt, Surgical - methods</topic><topic>Brachial Artery - surgery</topic><topic>Catheters, Indwelling</topic><topic>Elbow - blood supply</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Forearm - blood supply</topic><topic>Hematoma - etiology</topic><topic>Humans</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Renal Dialysis - methods</topic><topic>Surgery</topic><topic>Surgical Wound Infection - etiology</topic><topic>Thrombosis - etiology</topic><topic>Treatment Outcome</topic><topic>Vascular Patency - physiology</topic><topic>Veins - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elwakeel, Hossam A</creatorcontrib><creatorcontrib>Saad, Ehab M</creatorcontrib><creatorcontrib>Elkiran, Yasser M</creatorcontrib><creatorcontrib>Awad, Ibrahim</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elwakeel, Hossam A</au><au>Saad, Ehab M</au><au>Elkiran, Yasser M</au><au>Awad, Ibrahim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unusual Vascular Access for Hemodialysis: Transposed Venae Comitante of the Brachial Artery</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2007-09-01</date><risdate>2007</risdate><volume>21</volume><issue>5</issue><spage>560</spage><epage>563</epage><pages>560-563</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><abstract>The National Kidney Foundation Dialysis Outcomes Quality Initiative guidelines favor autogenous vein for arteriovenous fistulas. This report describes our technique and results of arteriovenous fistulas between brachial artery and its transposed venae comitantes. The procedure was done in two stages, first anastomosis between brachial artery at the elbow and one of its venae comitantes and, 1 month later, transposition of the vein to a subcutaneous tunnel. The study included 21 patients (15 males, six females), nine of whom were diabetic, with a mean age of 53 years. The cumulative primary patency rate was (75.89%) at 1 year and (55.34%) at 2 years. Complications developed in 11/21 fistulas, including thrombosis, infection, aneurysm formation, and nonmaturation of the vein. Brachial artery to its transposed venae comitante fistula is an alternative access which can be used as a tertiary autogenous access.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>17823039</pmid><doi>10.1016/j.avsg.2007.03.026</doi><tpages>4</tpages></addata></record> |
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| ispartof | Annals of vascular surgery, 2007-09, Vol.21 (5), p.560-563 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Aneurysm - etiology Arteriovenous Shunt, Surgical - adverse effects Arteriovenous Shunt, Surgical - methods Brachial Artery - surgery Catheters, Indwelling Elbow - blood supply Female Follow-Up Studies Forearm - blood supply Hematoma - etiology Humans Kidney Failure, Chronic - therapy Male Middle Aged Postoperative Complications Renal Dialysis - methods Surgery Surgical Wound Infection - etiology Thrombosis - etiology Treatment Outcome Vascular Patency - physiology Veins - surgery |
| title | Unusual Vascular Access for Hemodialysis: Transposed Venae Comitante of the Brachial Artery |
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