TITLE

Upper Arm Arteriovenous Fistulas as a Reliable Access Alternative for Patients Requiring Chronic He

AUTHOR(S)
Livingston, Chrisopher K.; Potts III, John R.
PUB. DATE
November 1999
SOURCE
American Surgeon;Nov1999, Vol. 65 Issue 11, p1038
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The wrist fistula is the access procedure of choice in the hemodialysis patient. However, unavailable or unusable anatomy in this aging population has made them difficult to establish. This study retrospectively compares patency, occlusion, and complication rates of upper arm arteriovenous fistulas (AVFs) as a reliable alternative. Fifty-eight upper arm AVFs were created in 52 patients between February 1995 and August 1997 at Hermann Hospital, affiliated with the University of Texas Health Science Center in Houston, Texas. Fistulas were constructed using the brachial artery (BA) side-to-end (n = 56) or side-to-side (n = 1) with either the cephalic vein (CV; n = 39), transposed basilic vein (TBV; n = 16), or other vein [basilic vein (BV; n = 1), transposed cephalic vein (TCV; n = 1), median cubital vein (MCV; n = 1)]. One-year primary patency rates for upper arm AVFs were 66 per cent, and secondary patency rates were 22 per cent. Flow rates averaged 354.6 mL/minute. Primary and secondary patency rates for fistulas created are: BA-CV (67% and 20%), BA-TBV (63% and 25%), and other upper arm AVFs 66 per cent without revisions. Primary patencies for both BA-CV and BA-TBV fistulas were similar to previously reported studies. Secondary patencies proved to be less effective. Upper arm AVFs should be considered before graft placement when wrist and forearm anatomy does not lend itself to fistula creation.
ACCESSION #
2460104

 

Related Articles

  • Alternatives to arteriovenous fistulas. Corbett, R. W.; Ashby, D. R.; Duncan, N. D. // BMJ: British Medical Journal;12/6/2014, Vol. 349 Issue 7896, pg7249 

    A letter to the editor is presented in response to the article "Management of Arteriovenous Fistulas," by A. Siddiky et al. in the October 30, 2014 issue is presented.

  • Authors’ reply. Gilbert, James; Siddiky, Abul // BMJ: British Medical Journal;12/6/2014, Vol. 349 Issue 7896, pg7252 

    A response from the authors of the article "Management of Arteriovenous Fistulas" in the October 30, 2014 issue is presented.

  • The course of pulmonary arteriovenous malformation after Fontan completion.  // Cardiology in the Young;May2006 Supplement, Vol. 16 Issue S2, p97 

    The article presents the abstract "The Course of Pulmonary Arteriovenous Malformation After Fontan Completion".

  • Errata-Corrige.  // Interventional Neuroradiology;mar2012, Vol. 18 Issue 1, p114 

    A correction to the case study on the transvenous approach to intracranial dural arteriovenous fistula is presented.

  • Upper arm fistola a good alternative to arteriovenous grafts. Dixon, B. S.; Novak, L.; Fangman, J. // Kidney;Jul/Aug2002, Vol. 11 Issue 4, p166 

    Deals with a study which aimed to report results using the upper-arm native arteriovenous fistula. Methodology used in the study; Results and conclusion.

  • Massive Gastrointestinal Bleeding Secondary to Superior Mesenteric Arteriovenous Fistula. An, Tianzhi; Zhou, Shi; Song, Jie; Jiang, Tianpeng; Li, Xing; Wang, Weiping // American Journal of Gastroenterology;Oct2013, Vol. 108 Issue 10, p1662 

    A letter to the article related to the superior mesenteric arteriovenous fistula (SMAVF) disorder is presented.

  • AVF Placement Less Likely in Metropolitan Areas.  // Renal & Urology News;Apr2014, Vol. 13 Issue 4, p8 

    The article reports on a study which finds that rates of arteriovenous fistula (AVF) placement in patients approaching hemodialysis in the U.S. are significantly lower in metropolitan than micropolitan areas.

  • Side-to-Side Anastomosis without Vessel Clamp: A Practical Method for Arterio-Venous Fistula. Tan, Önder; Atik, Bekir // European Journal of General Medicine;2010, Vol. 7 Issue 3, p348 

    The radial artery to cephalic vein fistula (radial AVF, Brescia-Cimino, radiocephalic) is the basic technique in arteriovenous fistula construction before hemodialysis and the side to side anastomosis is commonly used between these vessels. The vessel clamps in bulldog and approximater types are...

  • Characterization of neointima lesions associated with arteriovenous fistulas in a mouse model.  // Kidney International;Sep2006, Vol. 70 Issue 6, p1190 

    A correction to the article "Characterization of neointima lesions associated with arteriovenous fistulas in a mouse model," published in Vol. 70 is presented.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics