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

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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 languageEnglish
Pages (from-to)335-341
Number of pages7
JournalHemodialysis international
Volume22
Issue number3
DOIs
Publication statusPublished - 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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