Basilic Vein Transposition Arteriovenous Fistulas in Nakornping Hospital

Abstract

Increasing the prevalence of arteriovenous fistula over arteriovenous synthetic graft is critical for decreasing the morbidity and costs of dialysis patients. The basilic vein was another source of autogenous vein for the creation of an arteriovenous fistula. A retrospective review of 24 patients undergoing basilic vein transposition (BVT) arteriovenous fistula in two steps technique was carried out between January 2002 and December 2006. Of the twenty-four patients underwent BVT, eighteen (75%) proceeded to the second step and already receiving hemodialysis. Perioperative complications included two hemotamas, and one infection. BVT had high patency rates and the advantage of two steps technique was to decrease number of undergoing patients the second step operation which large incision and morbidity.