Basilic vein transposition (BVT) fulfills the need for a durable conduit with high patency and maturation rates. This retrospective review examines a single group’s. Methods: We have used the transposed proximal basilic vein in 65 procedures to construct an autogenous arteriovenous fistula (AVF) to the brachial artery in To extend the availability of each extremity as an access site, we have used the transposed basilic vein for fistula construction since Our purpose is to.

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Failure of arteriovenous fistula maturation: Remarks on surgical strategy in creating vascular access for hemodialysis: Video endoscopic technique a Creation of working space; b Basilic vein transposition.

The use of the native basilic vein offers certain advantages: The mean transposigion admission time was 3 days range 2—4 days. The advantage of this technique is the single operation that is needed for creation of the vascular access.

Journal List Indian J Urol basiliv. Conventional BVT [ Figure 1 ] requires long incision over the medial aspect of the arm. Maturation time at four weeks was Short-term effect of the New Nordic Renal Diet on phosphorus homoeostasis in chronic kidney disease Stages 3 and 4.

Correspondence and offprint requests to: Once it is felt that further dissection was not transoosition from this incision, another cm longitudinal incision in the medial aspect of the upper arm and dissection of the basilic vein continued proximally.


J Vasc Surg ; Elevated basilic vein arteriovenous fistula.

It is the most durable hemodialysis access procedure for those patients having multiple forearm AVF surgeries. This method is inspired by videoendoscopic minimally invasive method used to dissect the basilic vein, thus avoiding extensive dissection and related morbidities.

Small incision basilic vein transposition technique: A good alternative to standard method

National Center for Trajsposition InformationU. The aim of this study was to investigate whether minimal invasive basilic vein dissection with an endoscopic technique is feasible. The same patient experienced a temporary sensory loss in the forearm, probably due to dissection of the cutaneous nerve away from the basilic vein.

After lifting the skin with the hook retractors the tributaries of the vein are cut between ligatures. It is inspired by the minimally invasive technique of trnsposition vein dissection done by videoendoscope. After 2 months this was fully recovered. One patient developed a haematoma in the subcutaneous tunnel, necessitating surgical exploration with salvage of the access.

Multiple longitudinal separate second skin incisions cm were made to explore proximal part of basilic vein.

Comparison of autogenous fistula versus expanded polytetrafluoroethylene graft fistula for angioaccess in hemodialysis. But BVT is time consuming and technically challenging procedure with significant perioperative morbidity due to long incisions and extensive surgical dissection. Am J Kidney Dis ;48 Suppl 1: Abstract End-stage renal disease is a significant health problem. Transpksition J Cardiothorac Surg.

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Small incision basilic vein transposition technique: A good alternative to standard method

Evaluation of the efficacy of the transposed upper arm arteriovenous fistula: Endoscopic versus traditional saphenous vein harvesting: After dissection, the basilic vein is transposed to a subcutaneous tunnel on the anterior surface of the arm and anastomosed to the brachial artery [ trwnsposition11 ].

Standard endoscopic scissors and dissection clamps are used to facilitate the dissection. Completion angiography is performed to determine technical problems. The upper arm AV hemoaccess: This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Demographics of the patients.

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This oedema may hamper successful needling of the AV fistula. Support Center Support Center.

Endoscopic saphenous vein harvest in infrainguinal bypass surgery.