publication . Article . Other literature type . 2005

Outcome after autogenous brachial-basilic upper arm transpositions in the post-National Kidney Foundation Dialysis Outcomes Quality Initiative era

Wolford, Heather Y.; Hsu, Jeffrey; Rhodes, Jeffrey M.; Shortell, Cynthia K.; Davies, Mark G.; Bakhru, Arvind; Illig, Karl A.;
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  • Published: 01 Nov 2005 Journal: Journal of Vascular Surgery, volume 42, pages 951-956 (issn: 0741-5214, Copyright policy)
  • Publisher: Elsevier BV
Abstract
Background The Dialysis Outcomes Quality Initiative (DOQI)-inspired push to create autogenous fistulas has led to a resurgence of interest in basilic vein transposition as an autogenous access conduit. We reviewed our experience with autogenous brachial-basilic upper arm transpositions (BTX) to clarify current maturation and patency rates and provide realistic expectations for a tertiary referral vascular practice. Methods We follow an aggressive "all-autogenous" policy with regard to dialysis access and recommend BTX when all cephalic options are exhausted. Prosthetic grafts are not attempted unless all upper extremity veins are unusable. The records of all pat...
Subjects
free text keywords: Surgery, Cardiology and Cardiovascular Medicine, Hemodialysis, medicine.medical_treatment, medicine, Hemodialysis Catheter, Perioperative, Basilic Vein, medicine.medical_specialty, Stenosis, medicine.disease, Fistula, business.industry, business, Dialysis, Vein, medicine.anatomical_structure
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