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Michael C. Coburn, MD, Wilfred I. Carney, MD 

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Presentation on theme: "Michael C. Coburn, MD, Wilfred I. Carney, MD "— Presentation transcript:

1 Comparison of basilic vein and polytetrafluoroethylene for brachial arteriovenous fistula 
Michael C. Coburn, MD, Wilfred I. Carney, MD  Journal of Vascular Surgery  Volume 20, Issue 6, Pages (December 1994) DOI: / (94) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Exposure of basilic vein is facilitated by generous medial incision in arm. Course of medial brachial cutaneous nerve runs in close proximity to basilic vein, and is carefully preserved during dissection. Branches of vein are demonstrated and require suture ligation. Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 After ligation of branches of basilic vein, vein is mobilized, distal end transected, and subcutaneous tunnel constructed. Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 After vein is delivered through subcutaneous tunnel (indicated by dashed lines), anastomosis is constructed from basilic vein to brachial artery. Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Accumulated patency rates for BAVF and PTFEF. At 1 year, primary patency rates for BAVF and PTFEF were 90% and 70%, respectively (p < 0.01); 2-year patency rates were 86% and 49%, respectively (p < 0.001). Secondary patency rates at 1 year (87%) and 2 years (64%) for PTFEF were significantly less than corresponding BAVF patency rates only at 2 years (p < 0.02).Seventeen percent of BAVG developed complication, compared with 43% of PTFEF (p < 0.02). Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Accumulated patency rates among women with BAVF and PTFEF. At one year, primary patencies for BAVF and PTFEF were 86% and 75%, respectively (p = NS); 2-year patency rates were 79% and 50%, respectively (p < 0.05). Secondary patency rates for women with PTFEF at 1 year (94%) and 2 years (75%) were not significantly less than corresponding BAVF patency rates. Twenty-one percent of BAVF developed complication, compared with 44% of PTFEF (p < 0.05). Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 6 Accumulated patency rates among males with BAVF and PTFEF. At one year, primary patencies for BAVF and PTFEF were 93% and 60%, respectively (p < 0.01); 2-year patency rates were 93% and 48%, respectively (p < 0.001). Secondary patency rates for PTFEF at 1 year (87%) and 2 years (47%) were significantly less than corresponding BAVF patency rates only at 2 years (p < 0.001). Thirteen percent of men with BAVF had complication, compared with 40% of men with PTFEF (p < 0.06). Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

8 Fig. 7 Accumulated patency rates for men and women with basilic vein fistulas. At 1 year, patency rates for men and women were 93% and 90%, respectively (p = NS); 2-year patency rates were 93% and 83%, respectively (p = NS). Twenty-one percent of women had development of complications compared with 13% of men (p = NS). Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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