Prophylactic Ligation of the Median Cubital Vein to Improve the Patency of a Radio Cephalic Fistula
Advances in Surgical Sciences
Volume 4, Issue 1, February 2016, Pages: 1-5
Received: Dec. 18, 2015; Accepted: Feb. 1, 2016; Published: Feb. 23, 2016
Views 8992      Downloads 90
Authors
Chandrasekhar Chevuturu, Department of Vascular Surgery, Apollo Hospitals, Jubilee Hills, Hyderabad, India
Mudigonda Somasekhar, Department of Nephrology, Apollo Hospitals, Jubilee Hills, Hyderabad, India
Sanjay Maitra, Department of Nephrology, Apollo Hospitals, Jubilee Hills, Hyderabad, India
Manoj. K. Agarwala, Department of Cardiology, Apollo Hospitals, Jubilee Hills, Hyderabad, India
Article Tools
Follow on us
Abstract
The study evaluated the prophylactic ligation of the median cubital vein to improve the patency of a radiocephalic fistula in end stage renal disease (ESRD) patients undergoing hemodialysis. The study included a total of 38 ESRD patients undergoing arteriovenous fistula (AVF) surgery. Functional outcomes of the radiocephalic fistula were studied for six months by measuring primary patency rates. Out of 38 patients, 28 patients were cannulated at 20 days because of good flow and early maturation of the fistula. Revision AVF was performed on 4 patients after 3 months because of improper cannulation resulting in thrombosis of the cephalic vein. One patient underwent balloon angioplasty to maintain patency. Five patients discontinued the study. The primary patency rates for ESRD patients undergoing hemodialysis with radio cephalic fistula were better after ligation of the median cubital vein.
Keywords
Radio Cephalic Fistula, Median Cubital Vein, Ligation, Renal Disease
To cite this article
Chandrasekhar Chevuturu, Mudigonda Somasekhar, Sanjay Maitra, Manoj. K. Agarwala, Prophylactic Ligation of the Median Cubital Vein to Improve the Patency of a Radio Cephalic Fistula, Advances in Surgical Sciences. Vol. 4, No. 1, 2016, pp. 1-5. doi: 10.11648/j.ass.20160401.11
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Manns B, Tonelli M, Yilmaz S, et al. Establishment and maintenance of vascular access in incident hemodialysis patients: a prospective cost analysis. J Am Soc Nephrol. 2005; 16(1): 201-209.
[2]
Polkinghorne KR, McDonald SP, Atkins RC, et al. Vascular access and all-cause mortality: A propensity score analysis. J Am Soc Nephrol. 2004; 15(2): 477-486.
[3]
Astor BC, Eustace JA, Powe NR, et al. Type of vascular access and survival among incident hemodialysis patients: The Choices for Healthy Outcomes in Caring for ESRD (CHOICE) Study. J Am Soc Nephrol. 2005; 16(5): 1449-1455.
[4]
Churchill DN, Taylor DW, Cook RJ, et al. Canadian Hemodialysis Morbidity Study. Am J Kidney Dis. 1992; 19(3): 214-234.
[5]
Oliver MJ, McCann RL, Indridason OS, et al. Comparison of transposed brachiobasilic fistulas to upper arm grafts and brachiocephalic fistulas. Kidney Int. 2001; 60(4): 1532-1539.
[6]
Dhingra RK, Young EW, Hulbert-Shearon TE, et al. Type of vascular access and mortality in US hemodialysis patients. Kidney Int. 2001; 60(4): 1443-1451.
[7]
Hashemi H, Sheridan MJ, Ford B. Selective two-stage basilica and cephalic vein transpositions can significantly improve the rate of fistula construction. Int J Angiol. 2009; 18(3): 129-134.
[8]
Tonelli M, Jindal K, Hirsch D, et al. Screening for subclinical stenosis in native vessel arteriovenous fistulae. J Am Soc Nephrol. 2001; 12(8): 1729-1733.
[9]
Casey K, Tonnessen BH, Mannava K, et al. Brachial versus basilic vein dialysis fistulas: a comparison of maturation and patency rates. J Vasc Surg. 2008; 47(2): 402-406.
[10]
Martinez BD, LeSar CJ, Fogarty TJ, et al. Transposition of the basilic vein for arteriovenous fistula: an endoscopic approach. J Am Coll Surg. 2001; 192(2): 233-236.
[11]
El Sayed HF, Mendoza B, Meier GH, et al. Utility of basilic vein transposition for dialysis access. Vascular. 2005; 13(5): 268-1674.
[12]
Kim MH, Kim YK, Jun KW, Hwang JK, Kim SD, Kim JY, Park SC, Kim YS, Moon IS, Kim JI. Clinical Importance of Intraoperative Cephalic Vein Distensibility as a Predictor of Radiocephalic Arteriovenous Fistula Maturation. Semin Dial. 28(6): E64-70.
[13]
Kordzadeh A, Chung J, Panayiotopoulos YP. Cephalic vein and radial arterydiameter in formation of radiocephalic arteriovenous fistula: a systematic review. J Vasc Access. 2015; 16(6): 506-11.
[14]
Fassiadis N, Morsy M, Siva M, et al. Does the surgeon's experience impact on radiocephalic fistula patency rates? Semin Dial. 2007; 20(5): 455-457.
[15]
Huseynova K, Werneck C, Pope M. A single center study of clinical success in radiocephalic fistula creation. J Vasc Access. 2012; 13(2): 175-179.
[16]
Kumar A, Jha MS, Singla M, et al. Radio-median cubital / radiocephalic arteriovenous fistula at elbow to prevent vascular steal syndrome associated with brachiocephalic fistula: Review of 320 cases. Indian J Urol. 2007; 23(3): 261-164.
[17]
Asif A, Roy-Chaudhury P, Beathard GA. Early arteriovenous fistula failure: a logical proposal for when and how to intervene. Clin J Am Soc Nephrol. 2006; 1(2): 332-339.
[18]
Tonelli M, Hirsch D, Clark TW, et al. Access flow monitoring of patients with native vessel arteriovenous fistulae and previous angioplasty. J Am Soc Nephrol. 2002; 13(12): 2969-2973.
[19]
Tonelli M, Jhangri GS, Hirsch DJ, et al. Best threshold for diagnosis of stenosis or thrombosis within six months of access flow measurement in arteriovenous fistulae. J Am Soc Nephrol. 2003; 14(12): 3264-3269.
[20]
Sho E, Nanjo H, Sho M, et al. Arterial enlargement, tortuosity, and intimal thickening in response to sequential exposure to high and low wall shear stress. J Vasc Surg. 2004; 39(3): 601-612.
[21]
Masuda H, Bassiouny H, Glagov S, et al. Artery wall restructuring in response to increased flow. Surg Forum. 1989; 45: 285-286.
[22]
Hobson RW 2nd, Croom RD 3rd, Swan KG. Hemodynamics of the distal arteriovenous fistula in venous reconstruction. J Surg Res. 1973; 14(5): 483-489.
[23]
Burt CG, Little JA, Mosquera DA. The effect of age on radiocephalic fistula patency. J Vasc Access. 2001; 2(3): 110-113.
[24]
Nguyen TH, Bui TD, Gordon IL, et al. Functional patency of autogenous AV fistulas for hemodialysis. J Vasc Access. 2007; 8(4): 275-280.
[25]
Rooijens PP, Tordoir JH, Stijnen T, et al. Radiocephalic wrist arteriovenous fistula for hemodialysis: meta-analysis indicates a high primary failure rate. Eur J Vasc Endovasc Surg. 2004; 28(6): 583-589.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186