Chronic Kidney Disease. Chronic kidney disease, stage 5
Conditions
Interventions
Intervention 1: AVF reconstruction between the brachial artery and cephalic vein. Intervention 2: AVF reconstruction between the brachial artery and basilic or communicating vein.
Treatment - Surgery
AVF reconstruction between the brachial artery and cephalic vein
AVF reconstruction between the brachial artery and basilic or communicating vein
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria: All patients with chronic renal failure which referred for arteriovenous fistula (AVF) reconstruction as an access route for dialysis; age over 12Y/O;possibility of AVF reconstruction in the antecubital fossa; presence of both basilic and cephalic vein with a communicating vein between them; no significant brachial artery stenosis; no preoperative distal ischemia; no recent venous needling in the antecubital fossa. Exclusion criteria:any contraindication for AVF reconstruction in antecubital fossa; presence of a good forearm radial artery and cephalic vein for distal AVF reconstruction; absence of a communicating antecubital vein; absence of basilic or cephalic vein in the antecubital fossa; fibrosis of the antecubital or arm veins; no palpable thrill during irrigation of the antecubital veins with heparinized saline
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dialysability. Timepoint: 2 months after the operation. Method of measurement: by the dialysis nurse. | — |
Secondary
| Measure | Time frame |
|---|---|
| Arterial steal syndrome. Timepoint: any time during 2 months after the operation or after the first dialysis session. Method of measurement: diagnosis by the attending physician or dialysis nurse.;Venous hypertension syndrome. Timepoint: any time during the first 2 months the operation or after the first session of dialysis. Method of measurement: measurment of forearm circumference by attending physician or dialysis nurse. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactBassir Abolghasemi Fakhri
Tabriz University of medical sciences
Outcome results
None listed