A comparison between one-stage and two-stage procedures for the creation of brachiobasilic XXXX .

@entity177 @entity1 @entity2548 @entity292
INTRODUCTION: Vascular access is essential to end-stage @entity177 @entity1 requiring haemodialysis. Many @entity1 require multiple @entity292 formation attempts in order to gain good access, making secondary and tertiary @entity292 options vital. @entity292 are well established, but there is little evidence to compare the different surgical techniques in creating them. This study aimed to determine the patency and complication rates associated with these procedures. METHODS: Retrospective data was collected by reviewing case notes to determine @entity292 survival time and surgical setting. Patency, complications and required interventions were recorded for each group at three time intervals. The Kaplan-Meier method was used to calculate survival for each cohort. RESULTS: 37 brachiobasilic @entity2548 were created in 35 @entity1 . 17 @entity292 were one-stage procedures; 20 @entity292 were made in two stages. Survival proportions were measured as 70.6%, 58.8% and 51.5% for the one-stage procedure and 95%, 90% and 78% for the two-stage procedure at 1 month, 1 year and 2 years respectively with p = 0.0385. DISCUSSION: Native brachiobasilic @entity292 have advantages over prosthetic grafts. There are technical aspects which make the two-staged procedure preferable, including being more amenable to a day case surgery setting. Despite this, there is a lack of relative outcome differences in the literature, thus necessitating further work. CONCLUSION: Our data suggests creation of brachiobasilic @entity292 using a two-staged procedure may result in improved patency rates. Complication rates were found to be statistically equivocal, with fistuloplasties and embolectomy shown to be effective in @entity292 salvage.
