Volume 4, Issue 1, February 2016, Page: 1-5
Prophylactic Ligation of the Median Cubital Vein to Improve the Patency of a Radio Cephalic Fistula
Chandrasekhar Chevuturu, Department of Vascular Surgery, Apollo Hospitals, Jubilee Hills, Hyderabad, India
Mudigonda Somasekhar, Department of Nephrology, Apollo Hospitals, Jubilee Hills, Hyderabad, India
Sanjay Maitra, Department of Nephrology, Apollo Hospitals, Jubilee Hills, Hyderabad, India
Manoj. K. Agarwala, Department of Cardiology, Apollo Hospitals, Jubilee Hills, Hyderabad, India
Received: Dec. 18, 2015;       Accepted: Feb. 1, 2016;       Published: Feb. 23, 2016
DOI: 10.11648/j.ass.20160401.11      View  10229      Downloads  123
The study evaluated the prophylactic ligation of the median cubital vein to improve the patency of a radiocephalic fistula in end stage renal disease (ESRD) patients undergoing hemodialysis. The study included a total of 38 ESRD patients undergoing arteriovenous fistula (AVF) surgery. Functional outcomes of the radiocephalic fistula were studied for six months by measuring primary patency rates. Out of 38 patients, 28 patients were cannulated at 20 days because of good flow and early maturation of the fistula. Revision AVF was performed on 4 patients after 3 months because of improper cannulation resulting in thrombosis of the cephalic vein. One patient underwent balloon angioplasty to maintain patency. Five patients discontinued the study. The primary patency rates for ESRD patients undergoing hemodialysis with radio cephalic fistula were better after ligation of the median cubital vein.
Radio Cephalic Fistula, Median Cubital Vein, Ligation, Renal Disease
To cite this article
Chandrasekhar Chevuturu, Mudigonda Somasekhar, Sanjay Maitra, Manoj. K. Agarwala, Prophylactic Ligation of the Median Cubital Vein to Improve the Patency of a Radio Cephalic Fistula, Advances in Surgical Sciences. Vol. 4, No. 1, 2016, pp. 1-5. doi: 10.11648/j.ass.20160401.11
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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