Basilic vein transposition for unsuitable upper arm hemodialysis needle access segment may attenuate concurrent hand ischemia

Michael W. M. Gerrickens; Roel H. D. Vaes; Bastiaan Govaert; Joep A. W. Teijink; Marc R. Scheltinga

doi:10.1111/hdi.12654

Basilic vein transposition for unsuitable upper arm hemodialysis needle access segment may attenuate concurrent hand ischemia

Michael W. M. Gerrickens^*, Roel H. D. Vaes, Bastiaan Govaert, Joep A. W. Teijink, Marc R. Scheltinga

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Introduction: Some hemodialysis patients with a brachial arteriovenous fistula (AVF) have an unsuitable upper arm needle access segment (NAS) necessitating basilic vein transposition (BVT). It was frequently observed that a portion of these patients spontaneously experienced a warmer and less painful dialysis hand after BVT. Aim of this study was to determine whether BVT for an inadequate NAS attenuated hemodialysis access-induced distal ischemia in patients with a brachial AVF. Methods: Patients with a brachial AVF and an unsuitable NAS also reporting hand ischemia and scheduled to undergo BVT between 2005 and 2016 in a single facility were studied. Hand ischemia was graded as proposed in a 2016 consensus meeting. Hand ischemic questionnaire (HIQ-) scores (0 points, no ischemia500 points, maximal ischemia), digital brachial index (DBI, ischemia

Original language	English
Pages (from-to)	335-341
Number of pages	7
Journal	Hemodialysis international
Volume	22
Issue number	3
DOIs	https://doi.org/10.1111/hdi.12654
Publication status	Published - Jul 2018

Keywords

Basilic vein transposition
digital brachial index
hand ischemia
hemodialysis access-induced distal ischemia
INDUCED DISTAL ISCHEMIA
FISTULA ELEVATION PROCEDURE
SIDE BRANCH LIGATION
ARTERIOVENOUS-FISTULA
STEAL SYNDROME
VASCULAR ACCESS
COMPLICATIONS
SUPERFICIALIZATION
EXPERIENCE

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10.1111/hdi.12654

Full TextFinal published version, 258 KBLicence: Taverne

Cite this

@article{cca573b0a2594580b071098424e0da3c,

title = "Basilic vein transposition for unsuitable upper arm hemodialysis needle access segment may attenuate concurrent hand ischemia",

abstract = "Introduction: Some hemodialysis patients with a brachial arteriovenous fistula (AVF) have an unsuitable upper arm needle access segment (NAS) necessitating basilic vein transposition (BVT). It was frequently observed that a portion of these patients spontaneously experienced a warmer and less painful dialysis hand after BVT. Aim of this study was to determine whether BVT for an inadequate NAS attenuated hemodialysis access-induced distal ischemia in patients with a brachial AVF. Methods: Patients with a brachial AVF and an unsuitable NAS also reporting hand ischemia and scheduled to undergo BVT between 2005 and 2016 in a single facility were studied. Hand ischemia was graded as proposed in a 2016 consensus meeting. Hand ischemic questionnaire (HIQ-) scores (0 points, no ischemia500 points, maximal ischemia), digital brachial index (DBI, ischemia",

keywords = "Basilic vein transposition, digital brachial index, hand ischemia, hemodialysis access-induced distal ischemia, INDUCED DISTAL ISCHEMIA, FISTULA ELEVATION PROCEDURE, SIDE BRANCH LIGATION, ARTERIOVENOUS-FISTULA, STEAL SYNDROME, VASCULAR ACCESS, COMPLICATIONS, SUPERFICIALIZATION, EXPERIENCE",

author = "Gerrickens, {Michael W. M.} and Vaes, {Roel H. D.} and Bastiaan Govaert and Teijink, {Joep A. W.} and Scheltinga, {Marc R.}",

year = "2018",

month = jul,

doi = "10.1111/hdi.12654",

language = "English",

volume = "22",

pages = "335--341",

journal = "Hemodialysis international",

issn = "1492-7535",

publisher = "Wiley",

number = "3",

}

TY - JOUR

T1 - Basilic vein transposition for unsuitable upper arm hemodialysis needle access segment may attenuate concurrent hand ischemia

AU - Gerrickens, Michael W. M.

AU - Vaes, Roel H. D.

AU - Govaert, Bastiaan

AU - Teijink, Joep A. W.

AU - Scheltinga, Marc R.

PY - 2018/7

Y1 - 2018/7

N2 - Introduction: Some hemodialysis patients with a brachial arteriovenous fistula (AVF) have an unsuitable upper arm needle access segment (NAS) necessitating basilic vein transposition (BVT). It was frequently observed that a portion of these patients spontaneously experienced a warmer and less painful dialysis hand after BVT. Aim of this study was to determine whether BVT for an inadequate NAS attenuated hemodialysis access-induced distal ischemia in patients with a brachial AVF. Methods: Patients with a brachial AVF and an unsuitable NAS also reporting hand ischemia and scheduled to undergo BVT between 2005 and 2016 in a single facility were studied. Hand ischemia was graded as proposed in a 2016 consensus meeting. Hand ischemic questionnaire (HIQ-) scores (0 points, no ischemia500 points, maximal ischemia), digital brachial index (DBI, ischemia

AB - Introduction: Some hemodialysis patients with a brachial arteriovenous fistula (AVF) have an unsuitable upper arm needle access segment (NAS) necessitating basilic vein transposition (BVT). It was frequently observed that a portion of these patients spontaneously experienced a warmer and less painful dialysis hand after BVT. Aim of this study was to determine whether BVT for an inadequate NAS attenuated hemodialysis access-induced distal ischemia in patients with a brachial AVF. Methods: Patients with a brachial AVF and an unsuitable NAS also reporting hand ischemia and scheduled to undergo BVT between 2005 and 2016 in a single facility were studied. Hand ischemia was graded as proposed in a 2016 consensus meeting. Hand ischemic questionnaire (HIQ-) scores (0 points, no ischemia500 points, maximal ischemia), digital brachial index (DBI, ischemia

KW - Basilic vein transposition

KW - digital brachial index

KW - hand ischemia

KW - hemodialysis access-induced distal ischemia

KW - INDUCED DISTAL ISCHEMIA

KW - FISTULA ELEVATION PROCEDURE

KW - SIDE BRANCH LIGATION

KW - ARTERIOVENOUS-FISTULA

KW - STEAL SYNDROME

KW - VASCULAR ACCESS

KW - COMPLICATIONS

KW - SUPERFICIALIZATION

KW - EXPERIENCE

U2 - 10.1111/hdi.12654

DO - 10.1111/hdi.12654

M3 - Article

C2 - 29517177

SN - 1492-7535

VL - 22

SP - 335

EP - 341

JO - Hemodialysis international

JF - Hemodialysis international

IS - 3

ER -