SUPERIORITY OF BASILIC VEIN TRANSPOSITION VERSUS FOREARM LOOP GRAFT AS THIRD OPTION

초록

Radial-cephalic arteriovenous fistula and brachial-cephalic arteriovenous fistula are the first and second choices for creating vascular access in dialysis patients as recommended by the National Kidney Foundation Kidney Disease Outcomes Quality lnitiative. Basilic vein transposition(BW) or use of a forearm loop graft (FLG) is recommended thereafter. The aim of this study was to compare the outcomes and patency rates between BVT and FLG. Data collected in our prospectively maintained database of patients with chronic renal dysfunction requiring hemodialysis were analyzed. From January 201,6 to December 20!8, there were 28 patients with a basilic vein transposition (BVT) and22 patients with forearm loop graft (FLG) included. Maturation rate, maturation time, primary, primary assisted , secondary patency rate and reintervention were compared between two groups. Maturation rate of BW was 96.4%, relatively FLG 95.5%(p=0,845). Mean maturation time of BVT was 102.5 days (range; 9L- t32 days), relatively FLG 81.9 days (range; 67-94 days)(p=0.02) During mean follow-up time was 18 months, there were 5 interventions in BVT, relatively 12 interventions in FLG. The 1 year primary patency rate of BVT was higher than that of FLG (85.2% vs 65.8 %, p <0,01). Secondary patency rate of BW was also higher than that of FLG (93.4%vs85.4%6, p< 0.01), FLG, diabetes, female and age over 60 were risk factors of intervention. : In this our study, basilic vein transposition has better primary patency and secondary patency, fewer reinterventions compared with PTFE loop