Lindsey M. Korepta, MD, Jennifer J. Watson, MD, Erin A

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Presentation transcript:

Outcomes for forearm and upper arm arteriovenous fistula creation with the transposition technique  Lindsey M. Korepta, MD, Jennifer J. Watson, MD, Erin A. Elder, BS, Alan T. Davis, PhD, M. Ashraf Mansour, MD, Christopher M. Chambers, MD, Robert F. Cuff, MD, Peter Y. Wong, MD  Journal of Vascular Surgery  Volume 63, Issue 3, Pages 764-771 (March 2016) DOI: 10.1016/j.jvs.2015.09.049 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Intraoperative vein mapping and harvesting. a, Intraoperative on-table duplex ultrasound (US) of venous and arterial targets; (b) vein harvest skin markings and incisions; (c) venous harvest with distal ligation; (d) creation of tunnel in a forearm cephalic vein transposition (FACVT) using a Kelly-Wick instrument; and (e) final result of FACVT with tunnel of arteriovenous fistula (AVF) marked on the skin. Journal of Vascular Surgery 2016 63, 764-771DOI: (10.1016/j.jvs.2015.09.049) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Flow chart depicting postoperative management of all arteriovenous fistulas (AVFs). HD, Hemodialysis; US, ultrasound. Journal of Vascular Surgery 2016 63, 764-771DOI: (10.1016/j.jvs.2015.09.049) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Average vein and arterial diameter (mm). FACVT, Forearm cephalic vein transposition; UABVT, upper arm basilic vein transposition; UACVT, upper arm cephalic vein transposition. Journal of Vascular Surgery 2016 63, 764-771DOI: (10.1016/j.jvs.2015.09.049) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 Primary access maturation rates. There were no significant differences among the groups (P = .19). FACVT, Forearm cephalic vein transposition; UABVT, upper arm basilic vein transposition; UACVT, upper arm cephalic vein transposition. Journal of Vascular Surgery 2016 63, 764-771DOI: (10.1016/j.jvs.2015.09.049) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 5 Primary 1-year patency rates. There were no significant differences among the groups (P = .71). FACVT, Forearm cephalic vein transposition; UABVT, upper arm basilic vein transposition; UACVT, upper arm cephalic vein transposition. Journal of Vascular Surgery 2016 63, 764-771DOI: (10.1016/j.jvs.2015.09.049) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 6 Primary 1-year assisted patency rates. There were no significant differences among the groups (P > .999). FACVT, Forearm cephalic vein transposition; UABVT, upper arm basilic vein transposition; UACVT, upper arm cephalic vein transposition. Journal of Vascular Surgery 2016 63, 764-771DOI: (10.1016/j.jvs.2015.09.049) Copyright © 2016 Society for Vascular Surgery Terms and Conditions