Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2014  |  Volume : 33  |  Issue : 3  |  Page : 146-153

Outcomes of brachiobasilic arteriovenous shunting with superficialization as a vascular access for renal dialysis: an early experience in Benha University


1 Department of General Surgery, Benha University, Benha, Egypt
2 Department of Anesthesia and Intensive Care, Benha University, Benha, Egypt
3 Department of Radiology, Benha University, Benha, Egypt

Correspondence Address:
El-Sayed A Abd El-Mabood
Department of General Surgery, Benha University, 3A Elharamen Pharmacy Street, Benha
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-1121.141899

Rights and Permissions

Purpose The aim of the study was to assess outcomes of brachiobasilic arteriovenous fistula (BBAVF) under ultrasound (US)-guided supraclavicular block with or without superficialization and of brachiocephalic arteriovenous fistula in patients with vessels unsuitable or failed for a forearm fistula. Patients and methods The study included 75 patients diagnosed with end-stage renal failure. They were divided into three equal groups (n = 25) according to the site of fistula: group 1 underwent BBAVF (one-stage), group 2 underwent BBAVF (two-stage with 1-month interval), and group 3 underwent brachiocephalic arteriovenous fistula, all with end-to-side anastomosis under US-guided supraclavicular block. Results There was significant difference in the diameter of arm veins between the first two groups and the third group (P = 0.01), especially using supraclavicular block. Despite group 1 had the longest operative time (82.02 ± 11.39), it had the shortest duration of maturation and the best mean flow rate (ml/min) (P = 0.0004 and 0.004, respectively). The frequency of early postoperative complications - that is, primary access failure and early thrombosis (first 10 days) - and late complications - that is, late thrombosis more than 10 days and pseudoaneurysm - was less in group 1 (P = 0.05). Conclusion Despite one-stage BBAVF takes long operative time, it appears to be the most ideal vascular access, with high success rate, shortest duration of maturation, best mean flow rate, and less postoperative complications, and surgical redo with its complications is also less especially using US-guided supraclavicular block.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2021    
    Printed35    
    Emailed0    
    PDF Downloaded149    
    Comments [Add]    

Recommend this journal