Radiobasilic Versus Brachiobasilic Transposition on the Upper Arm to Avoid Steal Syndrome

Although the proximal radial artery has been reported as an alternative inflow to prevent steal syndrome, brachiobasilic fistula has been reported to be associated with steal syndrome in 10-20% of cases. We aimed to compare proximal radiobasilic arteriovenous fistula (AVF) with brachiobasilic AVFs o...

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Bibliographic Details
Published in:Medical science monitor 2015-12, Vol.21, p.4090-4095
Main Authors: Karaca, Okay Guven, Basal, Ahmet Nihat, Ecevit, Ata Niyazi, Kalender, Mehmet, Darcin, Osman Tansel, Sungur, Mehmet Ali
Format: Article
Language:English
Subjects:
Adult
Aged
Aneurysm
Arm
Arteriovenous Anastomosis
Arteriovenous Fistula - surgery
Arteriovenous Fistula - therapy
Arteriovenous Shunt, Surgical
Clinical Research
Female
Humans
Male
Middle Aged
Renal Dialysis
Retrospective Studies
Subclavian Steal Syndrome - prevention & control
Treatment Outcome
Vascular Patency
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Summary:Although the proximal radial artery has been reported as an alternative inflow to prevent steal syndrome, brachiobasilic fistula has been reported to be associated with steal syndrome in 10-20% of cases. We aimed to compare proximal radiobasilic arteriovenous fistula (AVF) with brachiobasilic AVFs on the upper arm in terms of steal syndrome and outcomes. We used our institutional operative record database to identify 94 patients in whom brachiobasilic AVF (n=40) and radiobasilic AVF (n=54) were placed between January 2009 and December 2013. Postoperative complications such as steal syndrome, venous hypertension, and aneurysm were recorded. Steal syndrome was determined to occur less frequently in the radiobasilic AVF group (0% vs. 10%, P=0.03). The rates of other complications (bleeding, aneurysm, venous hypertension) between the 2 groups were similar, as were the patency rates. Radiobasilic AVF was effective in reducing steal syndrome, with similar early and late outcomes.
ISSN:1643-3750
1234-1010
1643-3750
DOI:10.12659/MSM.896642