open access

Vol 10, No 2 (2004)
Original papers
Published online: 2004-05-10
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Comparison of PTFE bypass and transposition of the basilic vein for secondary hemodialysis access

Grzegorz Oszkinis, Łukasz Dzieciuchowicz, Marek Winckiewicz, Zbigniew Krasiński, Jacek Kaczmarkowski
Acta Angiologica 2004;10(2):91-98.

open access

Vol 10, No 2 (2004)
Original papers
Published online: 2004-05-10

Abstract

Background. Satisfactory vascular access for hemodialysis (HD) continues to be the weakest point in the management of patients with end-stage renal disease (ESRD). The purpose of this study was to compare PTFE arm graft with superficialized basilic vein as a secondary vascular access for HD.
Matherial and methods. Two groups of patients were compared. The first group consisted of 23 patients in whom a PTFE graft between the axillary vein and brachial artery was implanted. The second group consisted of 24 patients in whom a basilo-brachial elbow fistula was first created and then, after a period of maturation, the basilic vein was superficialized. The long term patency, number of complications, and patients' suspective assessment were compared between the two groups. The follow-up period was 25 months.
Results. The long term potency of the PTFE group and superficialized basilic vein was 57.1% and 80.0 respectively.
Conclusions. In conclusion, the authors emphasize that before the decision to implant PTFE prostheses is made, the possibilities of making use of the basilic vein should be taken in consideration.

Abstract

Background. Satisfactory vascular access for hemodialysis (HD) continues to be the weakest point in the management of patients with end-stage renal disease (ESRD). The purpose of this study was to compare PTFE arm graft with superficialized basilic vein as a secondary vascular access for HD.
Matherial and methods. Two groups of patients were compared. The first group consisted of 23 patients in whom a PTFE graft between the axillary vein and brachial artery was implanted. The second group consisted of 24 patients in whom a basilo-brachial elbow fistula was first created and then, after a period of maturation, the basilic vein was superficialized. The long term patency, number of complications, and patients' suspective assessment were compared between the two groups. The follow-up period was 25 months.
Results. The long term potency of the PTFE group and superficialized basilic vein was 57.1% and 80.0 respectively.
Conclusions. In conclusion, the authors emphasize that before the decision to implant PTFE prostheses is made, the possibilities of making use of the basilic vein should be taken in consideration.
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Keywords

vascular accesss; end-stage renal disease; PTFE graft; basilic vein superficialisation

About this article
Title

Comparison of PTFE bypass and transposition of the basilic vein for secondary hemodialysis access

Journal

Acta Angiologica

Issue

Vol 10, No 2 (2004)

Pages

91-98

Published online

2004-05-10

Bibliographic record

Acta Angiologica 2004;10(2):91-98.

Keywords

vascular accesss
end-stage renal disease
PTFE graft
basilic vein superficialisation

Authors

Grzegorz Oszkinis
Łukasz Dzieciuchowicz
Marek Winckiewicz
Zbigniew Krasiński
Jacek Kaczmarkowski

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