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. 2010 Jan-Mar;26(1):145-7.
doi: 10.4103/0970-1591.60466.

Small incision basilic vein transposition technique: a good alternative to standard method

Muthu Veeramani  1 , Jigish Vyas, Ravindra Sabnis, Mahesh Desai
Affiliations

Small incision basilic vein transposition technique: a good alternative to standard method

Muthu Veeramani et al. Indian J Urol. 2010 Jan-Mar.

Abstract

End-stage renal disease is a significant health problem. The primary use of the autogenous arteriovenous access is recommended by NKF-DOQI (National Kidney Foundation-Dialysis Outcomes Quality Initiative) guidelines. Though basilic vein transposition is well established in multiple failed fistulae's and obese patients, it requires large incision and morbidities like edema and infection. To avoid such compilations we, at our institution, adopted a small incision technique using two small 3-4 cm incisions. This method is inspired by videoendoscopic minimally invasive method used to dissect the basilic vein, thus avoiding extensive dissection and related morbidities.

Keywords: Basilic vein; transposition; vascular access.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Large incision for formation of traditional BVT; (b) Exteriorization of basilic vein; (c) End to side brachio basilic transposition
Figure 2
Figure 2
Video endoscopic technique (a) Creation of working space; (b) Basilic vein transposition
Figure 3a
Figure 3a
(a) Marking of incisions
Figure 3b
Figure 3b
Exteriorization of basilic vein
Figure 3c
Figure 3c
Brachio basilic transposition
See this image and copyright information in PMC

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