Abstract
The authors report 42 subcutaneous transpositions of arterialized deep upper arm veins for hemodialysis angioaccess: 37 basilic (BaF) and 5 brachial (BrF) fistulas, done in 38 patients, 18 of them diabetics, with local anesthesia. Indications for BaF and BrF creation were surgically exhausted forearm veins and/or severe arteriosclerotic changes of distal arteries. No neurologic or circulatory complications were seen. Cumulative patency rates for all fistulas was 100% at the first month and 82% one year after surgery. BaF and BrF are optimal autogenous alternatives to synthetic grafts.
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