Vascular access in chronic renal failure is an important issue. Especially with the result of repeated injections, inability to find a way to access into veins have led surgeons to seek for new vascular access in various bodily regions. In this study, we intended to present the results of basilic venous transposition performed on patients with vascular access difficulties in the light of the literature.
We included 28 patients who formerly had undergone multiple procedures and attended to our clinic with the diagnosis of chronic renal failure between May 2007 and January 2010. We performed basilic venous transposition in all of the patients and evaluated them for age, sex, period of hospitalization, mean time to first dialysis and functional period of the transposed vein.
Twenty-two patients were male (79 %) and 6 were female (21 %). Mean age was 58.6 yrs (45-78), mean operation time was 102 minutes (90-120), mean time to first dialysis was 20.6 days (15-28), mean duration of functional period of transposed vein was 12.4 months. In two patients (7 %) permanent catheter was required for vascular access and dialysis, because of the lack of maturation in transposed vein. There was no mortality.
Basilic venous transposition is an alternative and safe procedure in the absence of vascular access in patients with chronic renal failure.
Keywords: Chronic renal failure, hemodialysis, basilic venous transposition