Basilic vein transposition-radial artery fistula created using the no-touch technique

Clin Nephrol. 2019 Nov;92(5):233-236. doi: 10.5414/CN109880.

Abstract

Objective: To compare the functions and complications of forearm basilic vein transposition-arteriovenous fistula (BVT-AVF) created using the no-touch technique with that of conventional radiocephalic arteriovenous fistula (RC-AVF).

Materials and methods: The no-touch technique was used to created basilic vein transposition-radial artery fistula in 22 patients. Another 30 patients received surgeries for RC-AVF. The fistula functions and complications were compared between these two groups.

Results: The two groups did not differ significantly in the incidence of postoperative bleeding, limb swelling, infection, steal syndrome, fistula thrombosis, fistula aneurysm, fistula flow, fistula maturation time, Kt/v, and fistula median survival.

Conclusion: Forearm BVT-AVF created by the no-touch technique is a good alternative access for patients in whom the standard arteriovenous fistula cannot be established.

MeSH terms

  • Arteriovenous Shunt, Surgical* / adverse effects
  • Arteriovenous Shunt, Surgical* / methods
  • Arteriovenous Shunt, Surgical* / statistics & numerical data
  • Forearm / blood supply*
  • Humans
  • Postoperative Hemorrhage / epidemiology
  • Radial Artery / surgery*
  • Veins / surgery*