Clinical Outcomes of the fistula between median cubital vein and brachial artery | ||
| Aswan University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 29 July 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2025.400346.1249 | ||
| Authors | ||
| Ali Mahmoud Galal1; Kareem Diaa Ahmed* 2; mohamed mokhtar eid3; Ahmed Khalaf Fathy4 | ||
| 1Vascular surgery, faculty of medicine,Aswaan university | ||
| 2Vascular surgery department | ||
| 3Department of Diagnostic Radiology, Faculty of Medicine, Aswan University | ||
| 4Vascular surgery, faculty of medicine, Aswan university | ||
| Abstract | ||
| Abstract Background: The brachial artery to median cubital vein arteriovenous fistula (BA-MCV AVF) is an alternative vascular access for hemodialysis, especially in the case of an inadequate distal vein. This study is to analyze the clinical results, patency and complication of BA-MCV AVF. Methods: This was a prospective study of 50 patients with end-stage renal disease (ESRD) who were 18 years of age or older and needed hemodialysis access. Preoperative evaluations were based on the patients’ demographics, comorbidities, laboratory results and detailed examination by duplex ultrasonography (DUS) of upper arm vessels. Results: Out of the total number of patients, males were 60% and females constituted 40% with the mean age of 52.34±10.12 years. The prevalence of diabetes and hypertension was 48 and 72%, respectively. Most fistulas (80%) were left sided. The average operative time was 56.8±4.20 min. Baseline vessel size measurements determined mean artery and vein diameters of 4.83±0.39 mm and 5.55±0.58 mm, respectively. Completion primary patency rates were 100% at 1 and 3 months and 86% at 6 months and 74% 1 year. Secondary patency was 100% throughout the entire observation period. Complications included stenosis of cephalic arch14%, central venous5%, hematoma14%, oedema18%, thrombosis/aneurysm10% and wound indfections6%. Conclusion: A-MCV AVF provides favorable early patency with acceptable complication rates, offering a viable option for hemodialysis access. | ||
| Keywords | ||
| arteriovenous fistula; brachial artery; median cubital vein; hemodialysis access; vascular complications | ||
|
Statistics Article View: 36 |
||
