Objective: To test the hypothesis that routine preoperative mapping and transposed brachial-basilic vein fistula (TBBVF) increases arteriovenous fistulae (AVFs) construction rates, without altering maturation rate. Patients: Over a 4-year period, 709 vascular accesses were performed, including 467 AVFs (radial-cephalic fistula [RCF], n = 217, brachial-cephalic fistula [BCF], n = 139, TBBVF, n = 111) and 251 prosthetic grafts. During the last 2 years, preoperative mapping was performed routinely by means of ultrasound, and TBBVFs were preferentially used over arteriovenous grafts (AVGs). Results: Over the study, construction rate of upper arm AVF increased significantly from 12% to 53% and use of prosthetic grafts decreased from 55% to 19% (P < .001). Maturation rate of RCFs, BCFs, and TBBVFs during the first part of the study was 75%, 50%, and 30% (P = .003), compared to 79%, 82%, and 86% (P = .43), respectively, during the second part. Conclusions: Routine preoperative upper extremity mapping with ultrasound increases not only AVF construction rate, but also their maturation likelihood.
Dhingra RK, Young EW, Hulbert-Shearon TE, Leavey SF, Port FKType of vascular access and mortality in U.S. hemodialysis patients. Kidney Int. 2001;60(4):1443-1451.
2.
National Kidney Foundation.KDOQI clinical practice guidelines and clinical practice recommendations for 2006 updates: hemodialysis adequacy, peritoneal dialysis adequacy and vascular access. Am J Kidney Dis. 2006;48(suppl 1):S1-S322.
3.
Fistula First Breakthrough Initiative.www.fistulafirst.org. Accessed October 31, 2009.
4.
Allon M., Lockhart ME, Lilly RZ, et al. Effect of preoperative sonographic mapping on vascular access outcomes in hemodialysis patients. Kidney Int. 2001;60(5):2013-2020.
5.
Brown PWPreoperative radiological assessment for vascular access. Eur J Vasc Endovasc Surg. 2006;31(1):64-69.
6.
Karakayali F. , Ekici Y., Gorur SK, et al. The value of preoperative vascular imaging in the selection and success of hemodialysis access. Ann Vasc Surg. 2007;21(4):481-489.
7.
Lampropoulos G., Papadoulas S., Katsimperis G., et al. Preoperative evaluation for vascular access creation. Vascular.2009; 17(2):74-82.
8.
Mihmanli I., Besirli K., Kurugoglu S., et al. Cephalic vein and hemodialysis fistula: surgeon’s observation versus color Doppler ultrasonographic findings. J Ultrasound Med. 2001;20(3): 217-222.
9.
Silva MB, Jr., Hobson RW 2nd, Pappas PJ, et al. A strategy for increasing use of autogenous hemodialysis access procedures: impact of preoperative noninvasive evaluation . J Vasc Surg. 1998;27(2):302-307.
10.
Robbin ML, Gallichio MH, Deierhoi MH, Young CJ, Weber TM, Allon M.US vascular mapping before hemodialysis access placement. Radiology. 2000;217(1):83-88.
11.
Patel ST, Hughes J., Mills JL Sr. Failure of arteriovenous fistula maturation: an unintended consequence of exceeding dialysis outcome quality Initiative guidelines for hemodialysis access. J Vasc Surg. 2003;38(3):439-445.
12.
Fullerton JK , McLafferty RB, Ramsey DE, Solis MS, Gruneiro LA, Hodgson KJPitfalls in achieving the Dialysis Outcome Quality Initiative (DOQI) guidelines for hemodialysis access? Ann Vasc Surg. 2002;16(5):613-617.
13.
Barama AAEvaluating the impact of an aggressive strategy to create wrist arterio-venous fistula in patients on hemodialysis. J Vasc Access. 2003;4(4):140-145.
14.
Dagher FJ, Gelber RL, Ramos EJ, Sadler JHBasilic vein to brachial artery fistula: a new access for chronic hemodialysis . South Med J. 1976;69(11):1438-1440.
15.
Bazan HA, Schanzer H.Transposition of the brachial vein: a new source for autologous arteriovenous fistulas. J Vasc Surg. 2004; 40(1):184-186.
Lauvao LS, Ihnat DM, Goshima KR, Chavez L., Gruessner AC, Mills JL Sr. Vein diameter is the major predictor of fistula maturation. J Vasc Surg.2009;49(6):1499-1504.
18.
Huber TS, Ozaki CK, Flynn TC, et al. Prospective validation of an algorithm to maximize native arteriovenous fistulae for chronic hemodialysis access. J Vasc Surg. 2002;36(3):452-459.
19.
Asif A., Ravani P., Roy-Chaudhury P., Spergel LM, Besarab A.Vascular mapping techniques: advantages and disadvantages. JNephrol. 2007;20(3):299-303.
20.
Choi KL, Salman L., Krishnamurthy G., et al. Impact of surgeon selection on access placement and survival following preoperative mapping in the ‘‘Fistula First’’ era. Semin Dial. 2008;21(4): 341-345.
21.
Wolford HY, Hsu J., Rhodes JM, et al. Outcome after autogenous brachial-basilic upper arm transpositions in the post-National Kidney Foundation Dialysis Outcomes Quality Initiative era. J Vasc Surg. 2005;42(5):951-956.
22.
Biuckians A. , Scott EC, Meier GH, Panneton JM, Glickman MHThe natural history of autologous fistulas as first-time dialysis access in the KDOQI era. J Vasc Surg . 2008;47(2):415-421.
23.
Rooijens PP , Burgmans JP, Yo TI, et al. Autogenous radial-cephalic or prosthetic brachial-antecubital forearm loop AVF in patients with compromised vessels? A randomized, multicenter study of the patency of primary hemodialysis access . J Vasc Surg. 2005;42(3):481-486.
24.
Tordoir JH, Rooyens P., Dammers R., van der Sande FM, de HM, Yo TIProspective evaluation of failure modes in autogenous radiocephalic wrist access for haemodialysis. Nephrol Dial Transplant. 2003;18(2):378-383.
25.
Lazarides MK , Georgiadis GS, Antoniou GA, Staramos DNA meta-analysis of dialysis access outcome in elderly patients. J Vasc Surg. 2007;45(2):420-426.
26.
Ascher E., Hingoran A., Gunduz Y., et al. The value and limitations of the arm cephalic and basilic vein for arteriovenous access. Ann Vasc Surg. 2001 ;15(1):89-97.
27.
Oliver MJ, McCann RL, Indridason OS, Butterly DW, Schwab SJComparison of transposed brachiobasilic fistulas to upper arm grafts and brachiocephalic fistulas. Kidney Int. 2001;60(4):1532-1539.
28.
Koksoy C., Demirci RK, Balci D., Solak T., Kose SKBrachiobasilic versus brachiocephalic arteriovenous fistula: a prospective randomized study. J Vasc Surg.2009;49(1):171-177.
29.
El Mallah S.Staged basilic vein transposition for dialysis angioaccess. Int Angiol. 1998;17(2):65-68.
30.
Kakkos SK, Haddad R., Haddad GK, et al. Results of aggressive graft surveillance and endovascular treatment on secondary patency rates of Vectra vascular access grafts. J Vasc Surg. 2007;45(5):974-980.
31.
Miller PE, Tolwani A., Luscy CP, et al. Predictors of adequacy of arteriovenous fistulas in hemodialysis patients. Kidney Int. 1999; 56(1):275-280.
32.
Ernandez T. , Saudan P., Berney T., Merminod T., Bednarkiewicz M., Martin PYRisk factors for early failure of native arteriovenous fistulas. Nephron Clin Pract. 2005;101(1):c39-c44.
Richardson AI, Leake A., Schmieder GC, et al. Should fistulas really be first in the elderly patient?J Vasc Access. 2009;10(3): 199-202.
35.
Weale AR, Bevis P., Neary WD, et al. Radiocephalic and brachiocephalic arteriovenous fistula outcomes in the elderly. J Vasc Surg. 2008;47(1):144-150.
36.
Sedlacek M. , Teodorescu V., Falk A., Vassalotti JA, Uribarri J.Hemodialysis access placement with preoperative noninvasive vascular mapping: comparison between patients with and without diabetes. Am J Kidney Dis. 2001;38(3):560-564.
