Promising Results of the Forearm Basilic @entity292 Reveal a Worthwhile Option between Radial Cephalic and Brachial XXXX .

@entity1 @entity2548 @entity292
BACKGROUND: Use of the forearm basilic vein for the creation of an @entity2548 has been codified as second-choice vascular access for hemodialysis in the last clinical guidelines of the Society for Vascular Surgery in 2008. Poor literature data on this technical option and on its evaluation and outcomes led us to initiate a retrospective single-center study. METHODS: We analyzed the outcomes of every @entity2548 using the forearm basilic vein created in our department. It is a retrospective study in which we collected data prospectively by contacting dialysis centers, nephrologists, and @entity1 . Primary end point was primary patency rate at 1 year. Secondary end points were secondary patency rate at 1 year, time of maturation, and Doppler flow measurement before the first puncture. RESULTS: From February 2004 to June 2014, 49 forearm basilic arteriovenous fistulas were created: 33 ulnar-basilic and 16 radial basilic arteriovenous fistulas. Initial technical success rate was 98%. Functional success rate was 60%. Primary and secondary patency rates at 1 year were respectively 21% and 48%. Median time of maturation was 81  days, and mean Doppler flow measurement was 678  mL/min. @entity292 had a statistically significant shorter time of maturation than radial basilic fistulas (P  <= 0.05). CONCLUSIONS: Despite poor primary patency rate and a long time of maturation, forearm basilic @entity2548 has satisfactory secondary patency rate and keeps all the advantages of a distal-located vascular access concerning complications. It is worth its second-choice place in the current algorithm of creation of vascular access for hemodialysis.
