TY - JOUR TT - The Radiobasilic Transposition on the Upper Arm AU - Karaca, Okay Güven AU - Sungur, Mehmet Ali AU - Koç, Ayşegül PY - 2016 DA - December Y2 - 2016 DO - 10.21673/anadoluklin.284863 JF - Anatolian Clinic the Journal of Medical Sciences JO - Anatolian Clin PB - Hayat Sağlık ve Sosyal Hizmetler Vakfı WT - DergiPark SN - 2149-5254 SP - 16 EP - 23 VL - 22 IS - 1 KW - arteryovenöz fistül KW - hemodiyaliz KW - bazilik ven transpozisyonu N2 - Aim: The ideal vascular access for hemodialysis is through autologous arteriovenous fistulasthat are from the distal to the proximal in the upper extremity. Using the brachial artery as theinflow artery increases the risk of developing complications, especially steal syndrome. In thisstudy we aimed to explain the results of the arteriovenous fistulas that we performed with thetechnique of radiobasilic vein transposition that originated from the radial artery in the upperarm.Materials and Methods: Forty patients who had undergone radio-basilic transposition arteriovenousfistula operation between January 2009 and December 2012 were included in thisretrospectivelystudy. The recorded postoperative complications included steal syndrome, venoushypertension, and aneurysm.Results: In the follow-up period three patients developed aneurism. Steal syndrome and enoushypertension were observed in none of the patients. The mean follow-up duration was28.99±1.57 months. The one-year and two-year primary (and secondary) patency rates were76.6% and 49.5% (and 81.4% and 55.6%), respectively.Discussion and Conclusion: Steal syndrome is more frequently observed in arteriovenous fistulasthat originate from brachial artery than from radial artery. Many researchers used theproximal radial artery as the inflow artery in order to avoid complications. We conclude thatbasilic vein transposition is safer against steal syndrome especially when performed as radiobasilictransposition arteriovenous fistula, and that the patency rates are coherent with the literature.However, we believe that comparative studies are needed CR - 1. Clinical practice guidelines for vascular access. Vascular Access Workgroup. (National Kidney Foundation’s KDOQI 2006 Vascular Access Guidelines). Am J Kidney Dis. 2006:48:227–350. CR - 2. Sidawy AN, Spergel LM, Besarab A, et al. The Societynfor Vascular Surgery: clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access. J Vasc Surg. 2008;48:2–25. CR - 3. Fistula First: National Vascular Access Improvement Initiative. [Revised 2009; cited 18 December 2010]. Available at: http://www.fistulafirst.org/. Accessed 1 June 2010. CR - 4. 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