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Two-Stage Basilic Vein Transposition: Second Stage Results

2018Journal article Restricted access
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dc.contributor.authorRego, Duarte
dc.contributor.authorNogueira, Clara
dc.contributor.authorMatos, António
dc.contributor.authorAlmeida, Paulo
dc.contributor.authorQueirós, José
dc.contributor.authorSilva, Fernanda
dc.contributor.authorSousa, Clemente Neves
dc.contributor.authorAlmeida, Rui
dc.date.accessioned2020-06-08T16:11:58Z
dc.date.available2020-06-08T16:11:58Z
dc.date.issued2018
dc.description.abstractThe increasing survival of hemodialysis patients results in the depletion of superficial venous capital justifying the use of the basilic vein. Many groups still prefer an arteriovenous graft due to transposition complexity and the time needed to achieve maturation. In this work we review the results of our series of basilic vein transpositions (BVT). BVTs were performed in two stages: first, creation of the fistula; second, transposition of the vein using three small incisions in the arm. All patients had to have direct arterialization of the basilic vein, therefore, patients with previous ipsilateral wrist fistulas also followed a two-stage protocol. Data were retrospectively revised from all transposition procedures made between September 2005 and November 2012. Patency and complication rates were the primary outcomes evaluated. A total of 276 basilic veins were transposed. Usage rate was 82.2%. 8% (N = 22) of the fistulas were never used due to thrombosis. Secondary patency rates at 1 and 2 years were, respectively, 84% and 66.3%. Complications occurred in 61.6% (N = 170) of fistulas and 65.9% (N = 112) of which had to undergo surgical or endovascular revision. The most frequent complication was vein stenosis (39.7% of late complications, N = 92). Albeit its greater technical complexity, the transposed basilic vein represents a hemodialysis access with good patency rates. Complication rates, although high, are less than those of CVC or prosthetic grafts. These results support the use of the transposed basilic vein as hemodialysis access after the brachiocephalic fistula.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationTherapeutic Apheresis and Dialysis 2018; 22(1):73–98pt_PT
dc.identifier.doi10.1111/1744-9987.12601pt_PT
dc.identifier.eissn1744-9987
dc.identifier.urihttp://hdl.handle.net/10400.26/32525
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/abs/10.1111/1744-9987.12601pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectArteriovenous Shunt, Surgicalpt_PT
dc.subjectBrachiocephalic Veinspt_PT
dc.subjectFemalept_PT
dc.subjectGraft Occlusion, Vascularpt_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectTreatment Outcomept_PT
dc.subjectUpper Extremitypt_PT
dc.subjectVascular Patencypt_PT
dc.subjectVeinspt_PT
dc.subjectRenal Dialysispt_PT
dc.titleTwo-Stage Basilic Vein Transposition: Second Stage Resultspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage78pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage73pt_PT
oaire.citation.titleTherapeutic Apheresis and Dialysispt_PT
oaire.citation.volume22pt_PT
person.identifier.ciencia-idE215-041D-F66F
person.identifier.orcid0000-0003-2654-0497
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf794ca21-68d8-4e4e-b8dc-4d10ef6f3f2f
relation.isAuthorOfPublication.latestForDiscoveryf794ca21-68d8-4e4e-b8dc-4d10ef6f3f2f

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