BASILIC VEIN ARTERIOVENOUS FISTULA-AN ALTERNATIVE AUTOGENOUS VASCULAR ACCESS
Journal Title: PARIPEX-Indian Journal of Research - Year 2018, Vol 7, Issue 6
Abstract
Objective: To study the outcome of basilic vein arteriovenous fistula for hemodialysis access . Methods: It's a retrospective study, of the end stage renal disease patients, who underwent autogenous arteriovenous fistula surgeries for hemodialysis using basilic vein ,during the period 2016 to 2017 at Government Kilpauk Medical College Hospital, Chennai,India. Total of 228 patients ,Male 163 ( 71.50 %) and Female 65 (28.50 %) were enrolled in this study. Arteriovenous graft and permanent cuffed catheter procedures were excluded .The age group were between 14 years to 70 years.The fistula maturation was assessed by clinical examination of quality of thrill and color doppler correlation. Results: Out of the total 228 arteriovenous fistula, radiocephalic fistula 109 (47.80 %), brachiocephalic fistula 99 ( 43.42 %) and basilic vein fistula consisting both radiobasilic and brachiobasilic fistula 20 ( 8.77%). Basilic vein fistula primary patency rate is 80% at one year. Conclusion: Basilic vein arteriovenous fistula matures quickly with good primary patency rate ,and should be considered as a third option for autogenous arteriovenous fistula ,if radiocephalic and brachiocephalic fistula is not feasible or exhausted.
Authors and Affiliations
Balaraman V, Jayachander K
Keywords
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