Transposed Basilic Vein Versus Polytetrafluorethylene for Brachial-Axillary Arteriovenous Fistulas
Background: Both transposed basilic vein (BV) and polytetrafluorethylene (PTFE) upper arm arteriovenous fistulas (AVF) are common angioaccess operations. To evaluate the patency and complication rates after AVF, a concurrent series of patients was reviewed.
Methods: Ninety-eight patients underwent brachial artery to axillary vein AVF: 30 BV and 68 PTFE. The PTFE grafts were performed in the standard fashion, whereas the basilic veins were translocated subcutaneously to the brachial artery.
Results: Risk factors were similar between the two groups. Basilic vein AVF had better patency at 24 months (70% BV versus 46% PTFE, P = 0.023). The dialysis access complications were higher in the BV group (20%) versus PTFE (5%), but the PTFE group had a higher infection rate (10%) than BV (0%).
Conclusions: The primary and secondary patency rates were superior in the BV AVFs. The BV AVF preserves the venous outflow tract after AVF thrombosis for a future PTFE AVF operation.
Matsuura, J. H.,
Clark, M. D.,
Shuler, F. W.,
& Pallos, L. L.
(1998). Transposed Basilic Vein Versus Polytetrafluorethylene for Brachial-Axillary Arteriovenous Fistulas. The American Journal of Surgery, 176 (2), 219-221.