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PurposeThe arteriovenous fistula (AVF) represents the gold standard for hemodialysis (HD) vascular access. In some critical cases, use of the deep venous circle may represent an alternative approach and venae comitantes could be employed for this purpose.MethodsSixty patients with chronic renal failure in which the deep venous circle was used to create an AVF were identified; of the 48 who had a direct anastomosis between the brachial artery and vena comitans, 42 had a long-term follow-up (mean follow-up 59 weeks), while six were lost to follow-up.ResultsImmediate success (patency and palpable thrill) was achieved in 88% of cases (primary and early failure 12%). Primary accessibility rate was 62%, while 11 patients required a second surgical approach to make the vein accessible to needling. Secondary accessibility rate of 71% was due to surgical revisions. In the 80–week observation period, the …
SAGE Publications
Publication date: 
1 Jul 2011

Walter Morale, Domenico Patanè, Concetta Incardona, Giuseppe Seminara, Martina Messina, Pierantonio Malfa, Giuseppe L'Anfusa, Giuseppe D'Arrigo, Demetrio Spanti, Maria Luisa Mandalà, Domenico Di Landro

Biblio References: 
Volume: 12 Issue: 3 Pages: 211-214
The journal of vascular access