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< Vol. 14 Issue 2 | Apr-Jun 2013 | pp. 99 - 208

Primary patency time of basilic vein transposition versus prosthetic brachioaxillary access grafts in hemodialysis patients

Primary patency time of basilic vein transposition versus prosthetic brachioaxillary access grafts in hemodialysis patients

J Vasc Access 2013; 14(2): 111 - 115

Article Type: ORIGINAL ARTICLE

DOI:10.5301/jva.5000109

Authors

Mahdi Davoudi, Pouya Tayebi, Azadeh Beheshtian

Abstract

Purpose: The aim of this study was to compare the primary patency time of basilic vein transposition and prosthetic brachioaxillary access grafts in hemodialysis patients. Methods: In this randomized clinical trial, 60 hemodialysis patients who met the inclusion/exclusion criteria were recruited and randomly assigned to two intervention groups; Basilic vein transpositions (BVT) or Arteriovenous access grafts (AVG). Clinical follow-up for patency of the created accesses in at least one year, was performed at two weeks, one, two, three months and then every three months after surgery. Finally, patency rates and access-related complications were compared in the two groups studied. Results: Thirty BVTs and thirty AVG were performed in each group studied. The groups were well matched for age, sex and comorbidity. After at least one year of follow-up, the access failure rate in the BVT and AVG groups was 23.3% and 30%, respectively. In addition, the mean primary patency time in the BVT and AVG groups was 244.13 ± 103.65 and 264.97 ± 149.28, respectively and there was no statistically significant difference between the two groups studied (P=.533). The common cause of access failure were thrombosis and infection but there were no statistically significant differences between the two groups (P>.05). Conclusion: Our results show that AVG offer similar patency and complication rates to BVT. Thus, authors consider them as the preferred hemodialysis access when there are no suitable forearm veins to create arteriovenous fistulas.

Article History

  • • Accepted on 15/08/2012
  • • Available online on 04/10/2012
  • • Published in print on 09/07/2013

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Authors

  • Davoudi, Mahdi [PubMed] [Google Scholar]
    Department of Vascular Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari - Iran
  • Tayebi, Pouya [PubMed] [Google Scholar]
    Department of Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari - Iran
  • Beheshtian, Azadeh [PubMed] [Google Scholar]
    Department of Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari - Iran

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