Chronic kidney disease. Chronic kidney disease, stage 5
Conditions
Interventions
transposition (superficialization and lateralization) of arm basilic vein.
Treatment - Surgery
transposition (superficialization and lateralization) of arm basilic vein
Sponsors
Research vice-chancellor of Tabriz University of medical sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria: Brachiobasilic arteriovenous fistula for hemodialysis; minimum venous flow of 400 ml per minute; minimum venous diameter of 6 mm; no arterial steal syndrome; no venous hypertension; no significant skin lesion in the arm region; at least 2 months interval after the surgery; failure to access by the most experienced dialysis nurse at least for 3 times. Exclusion criteria: venous flow less than 400 ml per minute; venous diameter less than 6 mm; fibrous changes of proximal basilic vein; less than 10 cm of releasable vein because of every reason; venous hypertension; steal syndrome; deformity of the arm; significant chronic or infectious skin lesion in the arm region; death in the follow-up period before the first dialysis attempt
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dialysability. Timepoint: 45 days after the surgery. Method of measurement: By the dialysis nurse.;Basilic vein blood flow difference. Timepoint: before and 45 days after the surgery. Method of measurement: by doppler sonography.;Basilic vein diameter difference. Timepoint: before and 45 days after the surgery. Method of measurement: by doppler sonography.;Length of releasable basilic vein. Timepoint: intraoperative finding. Method of measurement: by a ruler in centimeter.;Maximum distance of basilic vein thrill from the skin incision. Timepoint: 45 days after the surgery. Method of measurement: by a ruler in centimeter. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient's age. Timepoint: before the operation. Method of measurement: in years.;Patient's gender. Timepoint: before the operation. Method of measurement: male or female.;Cause of renal failure. Timepoint: before the operation. Method of measurement: by questionairre.;Duration of the disease. Timepoint: before the operation. Method of measurement: by questionnaire in months.;Circumference of the midforearm. Timepoint: before and 45 days after the operation. Method of measurement: with a tape in centimeter.;Arterial steal syndrome. Timepoint: 45 days after the operation. Method of measurement: by the surgeon according to history and physical exam.;Venous hypertension. Timepoint: 45 days after the operation. Method of measurement: by the surgeon according to history and physical exam.;Bleeding. Timepoint: 24 hours after the operation. Method of measurement: by the surgeon according to history and physical exam.;Hematoma. Timepoint: 24 hours after the operation. Method of measurement: by the surgeon according to history and physical exam.;Wound infection. Timepoint: 1,7,14 days after the operation. Method of measurement: by the surgeon according to history and physical exam.;Nerve injury. Timepoint: 1,7,14 days after the operation. Method of measurement: by the surgeon according to history and physical exam.;Distal neuropathy. Timepoint: 1,7,14 days after the operation. Method of measurement: by the surgeon according to history and physical exam. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFarzad Kakaei
Tabriz University of medical sciences
Outcome results
None listed