What is a basilic vein transposition used for?
BVT is an alternative method with excellent initial maturation and functional patency rates requiring less extensive skin incision and surgical dissection. It is the most durable hemodialysis access procedure for those patients having multiple forearm AVF surgeries.
What is a transposed AV fistula?
This arteriovenous fistula transposition is based on a first-stage proximal radial artery to radial vein arteriovenous fistula. The transposed brachial vein is elevated anteriorly to the incision to avoid repeated needle access through the surgical scar.
What is transposed Brachiobasilic fistula?
Brachiobasilic transposition fistulae were created for patients in end stage renal failure in whom haemodialysis was being considered. These were either patients in whom previous vascular access had failed, or in whom alternative vascular access such as radiocephalic or brachiocephalic fistula were not possible.
What is a brachial basilic transposition?
The basilic vein is gently distended with heparinized saline to eliminate distortion. The brachial artery is then explored at the elbow. The mobilized basilic vein is transposed to the anterior arm inside a subcutaneous pocket by direct dissection (transposition).
What is a basilic vein fistula?
The basilic vein fistula provides reliable vascular access for chronic hemodialysis therapy. Early morbidity includes edema and mild pain. Ischemic complications have not developed in this series.
What is cephalic vein transposition?
The option for cephalic vein transposition (CVT), described by Chen et al., involves surgical revision to redirect the blood flow to the adjacent patient veins.
What is renal vein transposition?
LRV transposition is a safe, effective procedure in selected patients with persistent, severe symptoms. Patients with progression to occlusion of the LRV should be considered for alternative therapeutic procedures. Varicoceles, in the setting of nutcracker syndrome, may need independent repair.
Why is the basilic vein your last choice?
The basilic vein should be considered only as a final alternative. It is more difficult to access than the other veins of the antecubital area and its proximity to artery, nerves and tendons increases the possibility of injury to the patient. The median cubital and cephalic veins are better choices.