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

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Presentation on theme: "Lindsey M. Korepta, MD, Jennifer J. Watson, MD, Erin A"— Presentation transcript:

1 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 (March 2016) DOI: /j.jvs Copyright © 2016 Society for Vascular Surgery Terms and Conditions

2 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  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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

4 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  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

5 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  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

6 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  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

7 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  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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