الفهرس 
Title : Comparative study between brachial-basilic AVF and prosthetic forearm loop graft as a vascular access for hemodialysis
contentsOnly 14 pages are availabe for public view
 |  | from | 106 |  |  |
| | | from | 106 | | |
Abstract
Background: Vascular access is a necessity for patients with end-stage renal disease who need chronic intermittent hemodialysis. According to kidney disease outcomes quality Initiative (KDOQI) guidelines, radial-cephalic (RC) and brachial-cephalic (BC) arteriovenous fistulas (AVF) are the first and second choice for vascular access, respectively. If these options are not possible, an autogenous brachial-basilic fistula in the upper arm (BBAVF) or a prosthetic forearm loop graft (PTFE loop) may be considered. Methods: This study included 20 chronic renal disease patients were randomized to BBAVF or forearm loop graft in equal number. All patients were subjected to clinical and radiological follow up. And the two groups were compared according to the primary and assisted primary patency rates, incidence of complications, and number of interventions. Results: There was no significant difference in the postoperative complication in both groups. With primary patency 80% in both groups by the end of the one year of follow up. Conclusion: The results encourage us to recommend the forearm loop synthetic graft as a prior option to the BBAVF, with early maturation and dialysis, long segment for puncture and accepted complications and patency rates compared to the BBAVF