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Delayed Superficialization of Brachiobasilic Fistula
Technique and Initial Experience
C. M. V. Zielinski, MD;
Sumeet K. Mittal, MD;
Pete Anderson, MS;
Judd Cummings, MS;
Steve Fenton, MS;
Julian Reiland-Smith, MD;
J. T. Frock, MD;
R. W. Dunlay, MD
Arch Surg. 2001;136:929-932.
Hypothesis Angioaccess procedures for dialysis have varied patency rates with frequent need for intervention. A superficialized arteriovenous brachiobasilic fistula created as a 2-step procedure will have good long-term patency with minimal complication.
Design Retrospective medical record review and patient interview.
Setting Tertiary referral university hospital.
Patients Twelve patients who underwent delayed superficialization of brachiobasilic fistula from September 1994 to April 2000.
Main Outcome Measures Patency of fistula for dialysis, and major and minor complications, including revisions.
Results Delayed superficialization of brachiobasilic fistula was performed in 12 patients. Fistulas have been used for a mean duration of 22.4 months (range, 10-59 months). Two patients required alternate access owing to thrombosis of brachiobasilic fistula.
Conclusions The delayed superficialized brachiobasilic arteriovenous fistula has a good initial patency rate with minimal complications. It should be considered early in patients if radiocephalic fistula is unavailable.
From the Department of Surgery (Drs Zielinski, Mittal, and Reiland-Smith), and the Department of Medicine, Division of Nephrology (Drs Frock and Dunlay), Creighton University School of Medicine (Messrs Anderson, Cummings, and Fenton), Omaha, Neb.
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