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Corresponding Author

Mohammed Mohamed El-Salawy Mohamed

Document Type

Original Article

Abstract

Background: A good vascular access must be built, kept maintained, and preserved for hemodialysis (HD)to work. Aim of the study: to compare the patency, function criteria (fistula thrill), and complications between the brachio axillary and brachio vena comitans grafts for patients with persistent kidney insufficiency with exhausted upper extremity peripheral vein access for routine hemodialysis. Subjects and methods: The 50 patients participating in this prospective, randomized research had end-stage kidney illness. It was performed at The Vascular surgery department of Alazhar University hospitals (Al-Hussein and Bab-Alsheryah hospitals) . Cases were split into two categories: Group (A): Twenty-five patients underwent Brachio axillary grafts. and Group (B): Twenty-five patients underwent Brachio vena comitans grafts. Results: Primary patency was 68.0% at 6 m in group A and 56.0percent at 6 m in group B. Secondary patency was 72.0% at 6 m in group A and 56.0 percent at 6 m in group B. Access failure was 12.0% at 6 m in group A and 32.0 percent at 6 m in group B. Between the two groups, there was little difference in terms of access failure, primary potency, and secondary patency. Conclusion: Brachioaxillary AVG shown advantages in functioning and safety compared to brachio vena comitans grafts in patients with inadequate retention of all upper limb veins. The variation in the rates of complications between the two study groups was not statistically substantial. Therefore, for certain people, Brachioaxillary AVG formation is a suitable surgical procedure given their age, underlying condition, and predicted longevity.

Keywords

Fistula; axillary vein; hemodialysis; graft of the brachio vena comitans

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