The Radiobasilic Transposition on the Upper Arm

Okay Güven Karaca; Mehmet Ali Sungur; Ayşegül Koç

doi:10.21673/anadoluklin.284863

TR EN

The Radiobasilic Transposition on the Upper Arm

Öz

Amaç: Hemodiyaliz için ideal giriş yolu üst ekstremitede distalden proksimale doğru olan otolog arteryovenöz fistüllerdir. Brakiyal arteri giriş arteri olarak kullanmak, özellikle steal sendromu olmak üzere komplikasyon riskini attırır. Bu çalışmada üst ekstremitede radyal arterden orijin alan radyobazilik ven transpozisyonu tekniği ile yaptığımız arteryovenöz fistüllerin sonuçlarını açıklamayı amaçladık.

Gereç ve Yöntemler: Bu retrospektif çalışma, Ocak 2009 – Aralık 2012 döneminde radyobazilik transpozisyon arteryovenöz fistül yaptığımız kırk hastayı kapsamaktadır. Steal sendromu, venöz hipertansiyon ve anevrizma gibi postoperatif komplikasyonlar kaydedildi.

Bulgular: Takip süresince üç hastada anevrizma gelişti. Hastaların hiçbirinde steal sendromu ve venöz hipertansiyon görülmedi. Ortalama takip süresi 28,99±1,57 ay idi. Bir yıllık ve iki yıllık primer açık kalma oranları sırası ile %76,6 ve %49,5 idi. Bir yıllık ve iki yıllık sekonder açık kalma oranları ise sırası ile %81,4 ve %55,6 idi.

Tartışma ve Sonuç: Steal sendromu brakiyal arterden orijin alan arteryovenöz fistüllerde radyal arterden orijin alan arteryovenöz fistüllere göre daha fazla görülür. Pek çok araştırmacı komplikasyonlardan kaçınmak için giriş arteri olarak proksimal radyal arteri kullanılmıştır. Sonuçta özellikle RBAVF şeklinde yapılan bazilik ven transpozisyonunun steal sendromu açısından daha güvenli olduğunu ve patensi oranlarının da literatür ile uyumlu olduğunu düşünüyoruz. Bununla birlikte karşılaştırmalı çalışmaların gerektiğine inanıyoruz

Anahtar Kelimeler

arteryovenöz fistül,hemodiyaliz,bazilik ven transpozisyonu

The Radiobasilic Transposition on the Upper Arm

Öz

Aim: The ideal vascular access for hemodialysis is through autologous arteriovenous fistulas that are from the distal to the proximal in the upper extremity. Using the brachial artery as the inflow artery increases the risk of developing complications, especially steal syndrome. In this study we aimed to explain the results of the arteriovenous fistulas that we performed with the technique of radiobasilic vein transposition that originated from the radial artery in the upper arm.

Materials and Methods: Forty patients who had undergone radio-basilic transposition arteriovenous fistula operation between January 2009 and December 2012 were included in this retrospectively study. The recorded postoperative complications included steal syndrome, venous hypertension, and aneurysm.

Results: In the follow-up period three patients developed aneurism. Steal syndrome and enous hypertension were observed in none of the patients. The mean follow-up duration was 28.99±1.57 months. The one-year and two-year primary (and secondary) patency rates were 76.6% and 49.5% (and 81.4% and 55.6%), respectively.

Discussion and Conclusion: Steal syndrome is more frequently observed in arteriovenous fistulas that originate from brachial artery than from radial artery. Many researchers used the proximal radial artery as the inflow artery in order to avoid complications. We conclude that basilic vein transposition is safer against steal syndrome especially when performed as radiobasilic transposition arteriovenous fistula, and that the patency rates are coherent with the literature. However, we believe that comparative studies are needed

Anahtar Kelimeler

arteriovenous fistula,hemodialysis,basilic vein transposition

Kaynakça

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5. Matolo N, Kastagir B, Stevens LE, et al. Neurovascular complications of brachial arteriovenous fistula. Am J Surg. 1971;121:716–9
.6. Lazarides MK, Staramos DN, Panagopoulos GN, et al. Indications for surgical treatment of angioaccess-induced arterial “steal.” J Am Coll Surg. 1998;187:422–6.
7. Cascardo S, Acchiardo S, Beven EG, et al. Proximal arteriovenous fistulae for hemodialysis when radial arteries are unavailable. Proc Eur Dial Transplant Assoc. 1970;7:42–6.
8. Dagher F, Gelber R, Ramos E, et al. The use of basilic vein and brachial artery as an A-V fistula for long term hemodialysis. J Surg Res. 1976;20:373–6.
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10. Hill BB, Chan AK, Faruqi RM, et al. Keyhole technique for autologous brachiobasilic transposition arteriovenous fistula. J Vasc Surg. 2005;42:945–50.

11. Tordoir JH, Dammers R, de Brauw M. Video-assisted basilic vein transposition for haemodialysis vascular access: preliminary experience with a new technique Nephrol Dial Transplant. 2001;16:391–4.
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21. Anaya-Ayala JE, Younes HK, Kaiser KL, et al. Prevalence of variant brachial-basilic vein anatomy and implications
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Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Okay Güven Karaca

Mehmet Ali Sungur

Ayşegül Koç Bu kişi benim

Yayımlanma Tarihi

30 Aralık 2016

Gönderilme Tarihi

14 Ekim 2016

Kabul Tarihi

27 Kasım 2016

Yayımlandığı Sayı

Yıl 2017 Cilt: 22 Sayı: 1

DOI

https://doi.org/10.21673/anadoluklin.284863

IZ

https://izlik.org/JA43TM25PG

APA

Karaca, O. G., Sungur, M. A., & Koç, A. (2016). The Radiobasilic Transposition on the Upper Arm. Anatolian Clinic the Journal of Medical Sciences, 22(1), 16-23. https://doi.org/10.21673/anadoluklin.284863

AMA

1.Karaca OG, Sungur MA, Koç A. The Radiobasilic Transposition on the Upper Arm. Anadolu Klin. 2016;22(1):16-23. doi:10.21673/anadoluklin.284863

Chicago

Karaca, Okay Güven, Mehmet Ali Sungur, ve Ayşegül Koç. 2016. “The Radiobasilic Transposition on the Upper Arm”. Anatolian Clinic the Journal of Medical Sciences 22 (1): 16-23. https://doi.org/10.21673/anadoluklin.284863.

EndNote

Karaca OG, Sungur MA, Koç A (01 Aralık 2016) The Radiobasilic Transposition on the Upper Arm. Anatolian Clinic the Journal of Medical Sciences 22 1 16–23.

IEEE

[1]O. G. Karaca, M. A. Sungur, ve A. Koç, “The Radiobasilic Transposition on the Upper Arm”, Anadolu Klin, c. 22, sy 1, ss. 16–23, Ara. 2016, doi: 10.21673/anadoluklin.284863.

ISNAD

Karaca, Okay Güven - Sungur, Mehmet Ali - Koç, Ayşegül. “The Radiobasilic Transposition on the Upper Arm”. Anatolian Clinic the Journal of Medical Sciences 22/1 (01 Aralık 2016): 16-23. https://doi.org/10.21673/anadoluklin.284863.

JAMA

1.Karaca OG, Sungur MA, Koç A. The Radiobasilic Transposition on the Upper Arm. Anadolu Klin. 2016;22:16–23.

MLA

Karaca, Okay Güven, vd. “The Radiobasilic Transposition on the Upper Arm”. Anatolian Clinic the Journal of Medical Sciences, c. 22, sy 1, Aralık 2016, ss. 16-23, doi:10.21673/anadoluklin.284863.

Vancouver

1.Okay Güven Karaca, Mehmet Ali Sungur, Ayşegül Koç. The Radiobasilic Transposition on the Upper Arm. Anadolu Klin. 01 Aralık 2016;22(1):16-23. doi:10.21673/anadoluklin.284863

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.

The Radiobasilic Transposition on the Upper Arm

Öz

Anahtar Kelimeler

The Radiobasilic Transposition on the Upper Arm

Öz

Anahtar Kelimeler

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

DOI

IZ

Kaynak Göster