Comparison of Upper Limb Translocated Femoral Vein and Prosthetic Arteriovenous Bridge Grafts.
arteriovenous fistula
avbg
dialysis access
femoral vein
vein translocation
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
22 Nov 2019
22 Nov 2019
Historique:
entrez:
1
1
2020
pubmed:
1
1
2020
medline:
1
1
2020
Statut:
epublish
Résumé
Introduction Native veins are an ideal option for dialysis in a patient with chronic kidney disease (CKD) as compared to a prosthetic graft. Femoral vein (FV) translocation to the upper arm is also an alternative to a prosthetic graft as reported in the literature when all options of using the native veins of the arms are exhausted. Thus, we aimed to compare the patency of the upper limb translocated FV arteriovenous fistula (AVF) with a prosthetic arteriovenous bridge graft (AVBG). Methods It is a retrospective cohort study that was conducted in the Department of Vascular Surgery, Aga Khan University Hospital. It included adult patients who underwent either upper arm translocation of FV or prosthetic AVBG using the consecutive purposive sampling technique. There were a total of 10 patients who underwent FV translocation AVF and 20 patients who had AVBG in the upper arms. Results A total of 30 patients were included in the study. Of these 30 patients, 10 underwent FV translocation AVF and the remaining 20 had AVBG. There was a significant difference in the mean operating time of the two surgeries. The mean operating time in FV translocation was 223 (± 41.5) minutes and in those with AVBG, the mean operating time was 100 (±26.5) (p= <0.001). There was no significant difference in the total length of hospital stay in both procedures performed. The primary patency rate for FV translocation was 90% and 95% in AVBG (p=1.00). Ten percent of FV translocation had a primary failure rate compared with that of AVBG, which was 5% (p=1.00). The mean follow-up period was 61 weeks in the FV translocation group and 64 weeks in the AVG group. Conclusion There was no significant difference in both groups in terms of patency, length of hospital stay, and fewer complications were observed in the FV translocation group as compared with the AVBG group.
Identifiants
pubmed: 31890420
doi: 10.7759/cureus.6219
pmc: PMC6929260
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e6219Informations de copyright
Copyright © 2019, Moosa et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Eur J Surg. 2000 Oct;166(10):777-81
pubmed: 11071164
Indian J Nephrol. 2009 Oct;19(4):149-52
pubmed: 20535250
J Vasc Access. 2003 Oct-Dec;4(4):150-3
pubmed: 17639494
J Clin Epidemiol. 2002 Jul;55(7):711-6
pubmed: 12160919
Ann Vasc Surg. 2000 Jan;14(1):50-5
pubmed: 10629264
J Vasc Surg. 2004 Aug;40(2):311-8
pubmed: 15297827
Ann Vasc Surg. 2008 Nov;22(6):806-14
pubmed: 18809277
J Vasc Surg. 2000 May;31(5):1038-41
pubmed: 10805897
Kidney Int. 2002 Jun;61(6):2266-71
pubmed: 12028469
J Vasc Surg. 2011 Dec;54(6):1713-9
pubmed: 21803519
Eur J Vasc Endovasc Surg. 2013 Feb;45(2):183-8
pubmed: 23287566
ASAIO J. 2005 Jul-Aug;51(4):352-9
pubmed: 16156298
J Vasc Access. 2010 Oct-Dec;11(4):312-5
pubmed: 20683831
J Vasc Surg. 2003 Nov;38(5):1005-11
pubmed: 14603208