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

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.