지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.4
- 수록면
- 286 - 291 (6page)
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Purpose: Autogenous arteriovenous access for chronic hemodialysis is recommended by the National Kidney Foundation-Dialysis Outcomes Quality Initiative practice guidelines. A transposed basilic vein to brachial artery arteriovenous fistula provides secondary vascular access for hemodialysis we assess outcomes of basilic vein transposition in arteriovenous fistula in this retrospective series.
Methods: We performed a retrospective review of 81 patients undergoing basilic vein transposition (BVT) in the Soonchunhyang University College of Medicine between January 2000 and December 2006. Age, sex, etiology of end-stage renal disease, and complications were tabulated. Primary and secondary patency rates were determined using Kaplan-Meier methods.
Results: The average age was 58 years old and 43 patients were male. Renal failure was associated with hypertension in 59 patients (73%), diabetes in 30 patients (37%), and BVT was the primary access procedure in 19 patients (23%). Follow-up was between 12 to 84 months. There was no operation-related deaths. Seven patients required prosthetic graft interposition because of shortness of the basilic vein. Primary and secondary patency rates were 74% and 93%, respectively, at 1 year, and 73% and 87% at 2 years. Thirty five postoperative complications developed in 21 patients, including thrombosis (1), proximal vein stenosis (17), arm swelling (1), central vein stenosis (10), bleeding with hematoma (1), wound seroma (2), steal syndrome (2) and aneurysm (1). The seven patients who required subsequent prosthetic grafting for a failed basilic vein arteriovenous fistula had an ipsilateral procedure.
Conclusion: BVT arteriovenous fistula techniques provide a good patency rate. The complication rate, although high, is lower than that reported for PTFE grafts. Chronic renal failure with hemodialysis patients might benefit from BVT, because of long patency, less radiologic procedure, and lower infection rates. The BVT fistula should be used in preference to PTFE grafts for secondary access.
Methods: We performed a retrospective review of 81 patients undergoing basilic vein transposition (BVT) in the Soonchunhyang University College of Medicine between January 2000 and December 2006. Age, sex, etiology of end-stage renal disease, and complications were tabulated. Primary and secondary patency rates were determined using Kaplan-Meier methods.
Results: The average age was 58 years old and 43 patients were male. Renal failure was associated with hypertension in 59 patients (73%), diabetes in 30 patients (37%), and BVT was the primary access procedure in 19 patients (23%). Follow-up was between 12 to 84 months. There was no operation-related deaths. Seven patients required prosthetic graft interposition because of shortness of the basilic vein. Primary and secondary patency rates were 74% and 93%, respectively, at 1 year, and 73% and 87% at 2 years. Thirty five postoperative complications developed in 21 patients, including thrombosis (1), proximal vein stenosis (17), arm swelling (1), central vein stenosis (10), bleeding with hematoma (1), wound seroma (2), steal syndrome (2) and aneurysm (1). The seven patients who required subsequent prosthetic grafting for a failed basilic vein arteriovenous fistula had an ipsilateral procedure.
Conclusion: BVT arteriovenous fistula techniques provide a good patency rate. The complication rate, although high, is lower than that reported for PTFE grafts. Chronic renal failure with hemodialysis patients might benefit from BVT, because of long patency, less radiologic procedure, and lower infection rates. The BVT fistula should be used in preference to PTFE grafts for secondary access.
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REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Brescia MJ / 1966 / Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula / N Engl J Med 275 : 1089 ~ 1092
2. [학술지(정기간행물)] - NKF-DOQI clinical practice guidelines for vascular access / 1997 / National Kidney Foundation-Dialysis Outcomes Quality Initiative / Am J Kidney Dis 30 (1 suppl 3) : S150 ~ S191
3. [학술지(정기간행물)] - Dagher FJ / 1976 / The use of basilic vein and brachial artery as an AV fistula for long-term hemodialysis / J Surg Res 20 : 373 ~ 376
4. [학술지(정기간행물)] - Dagher FJ / 1996 / Upper arm arteriovenous fistula for chronic hemodialysis: 20 years later / Transplantation Proc 28 : 2325 ~ 2327
5. [학술지(정기간행물)] - Oliver MJ / 2001 / Comparison of transposed brachiobasilic fistulas to upper arm grafts and brachiocephalic fistulas / Kidney Int 60 : 1532 ~ 1539
2. [학술지(정기간행물)] - NKF-DOQI clinical practice guidelines for vascular access / 1997 / National Kidney Foundation-Dialysis Outcomes Quality Initiative / Am J Kidney Dis 30 (1 suppl 3) : S150 ~ S191
3. [학술지(정기간행물)] - Dagher FJ / 1976 / The use of basilic vein and brachial artery as an AV fistula for long-term hemodialysis / J Surg Res 20 : 373 ~ 376
4. [학술지(정기간행물)] - Dagher FJ / 1996 / Upper arm arteriovenous fistula for chronic hemodialysis: 20 years later / Transplantation Proc 28 : 2325 ~ 2327
5. [학술지(정기간행물)] - Oliver MJ / 2001 / Comparison of transposed brachiobasilic fistulas to upper arm grafts and brachiocephalic fistulas / Kidney Int 60 : 1532 ~ 1539
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UCI(KEPA) : I410-ECN-0101-2013-514-002693358