EVIDENCE BASED COMPARISON OF BASILIC VEIN SUPERFICIALIZATION VERSUS SYNTHETIC POLYTETRAFLUOROETHYLENE (PTFE) GRAFTS FOR HEMODIALYSIS | ||
| The Egyptian Journal of Surgery | ||
| Volume 24, Issue 3, July 2005, Pages 132-137 PDF (460.54 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2005.373125 | ||
| Author | ||
| Alaa Abdel Halim* | ||
| Department of Surgery, Cairo University, Egypt | ||
| Abstract | ||
| Aim: To use evidence based data to compare basilic vein superficialization & synthetic graft for hemodialysis. Patients and methods: Two groups of patients: Group 1: 50 patients with basilic vein superficialization . Group 2: 50 patients with synthetic PTFE graft. The comparison includes: indications, patency rates using and complications. Results: Statistical analysis of the results for both groups was done to determine the indications, type of anesthesia used, time consumed in operation theatre primary & secondary patency rate & complications. Functional patency rate at one & two years was better in group 1 than group 2 (P< 0.05) which is statistically significant. In group 1 local anesthesia was more used than group 2 and with less need for additional sedation, but the difference was not significant. The mean time consumed for operation of prosthetic graft is(54.6+10.6 min) which was shorter than that used for superficialization of the basilic vein but this was not statistically significant. As regarding complications: Infection, thrombosis and pseudoaneurysms were statistically significant higher in group2 than group1, while the rate of bleeding, venous hypertension & steel were also higher in group 2 but the difference was not statistically significant. The role of successful endovascular management of segmental stenosis was statistically significantly higher in group 1. Conclusion: Superficialization of the basilica vein provides superior patency and less complication rates compared to synthetic PTEF graft | ||
| Keywords | ||
| Renal failure; Arterio-venous fistula; Synthetic grafts | ||
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