Evidence map›Paper›PMID 39872267›Full record

ArticleIndian journal of nephrology

A Prospective Comparison of Outcomes of Brachiocephalic Versus Brachiobasilic Fistulas for Hemodialysis.

Joel Mathew John, Lam Samuel Prabhu Mithra, Yeddula Gnanendra Reddy, Andrew Dheepak Selvaraj, Prabhu Premkumar, Vimalin Samuel

Abstract read
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Article in Indian journal of nephrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Joel Mathew JohnDepartment of Vascular Surgery, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
Lam Samuel Prabhu MithraDepartment of Vascular Surgery, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
Yeddula Gnanendra ReddyDepartment of Vascular Surgery, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
Andrew Dheepak SelvarajDepartment of Vascular Surgery, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
Prabhu PremkumarDepartment of Vascular Surgery, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
Vimalin SamuelDepartment of Vascular Surgery, Christian Medical College Vellore, Vellore, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Brachiocephalic fistula (BCF) and brachiobasilic fistula (BBF) are autogenous fistulas created in the arm for hemodialysis access. However, despite the differences in anatomy and surgical technique, the existing literature shows no significant statistical difference between the maturation, patency, or complications. We analyzed the outcomes of these two types of arteriovenous fistulas in our subgroup of the Indian population. Materials and Methods: A prospective observational cohort study was performed at a tertiary hospital from August 2019 to August 2021 between patients who underwent BCF and BBF. The time to maturation, 1-year primary patency, and postoperative complications were studied. Results: Among the 236 patients, 137 and 99 underwent BCF and BBF, respectively. 53 (39%) and 37 (37.4%) patients were lost to follow-up at the end of 12 months in each arm, respectively. Each group comprised predominantly of males. There was no significant difference in age, diabetes, coronary artery disease, or peripheral arterial disease between the groups. The time to maturation within 6 weeks, more than 6 weeks, and non-maturation was 51.88% and 58.1% (p = 0.58), 38.67% and 32.55% (p = 0.04), and 9.43% and 9.3% (p = 0.74) in BCF and BBF groups, respectively. The 1-year primary patency, primary-assisted patency, and secondary patency were 69.04% and 53.22% (p <0.001), 78.3% and 59.6%, and 79.5% and 62.9% in BCF and BBF groups, respectively. Apart from venous hypertension (BCF:2(1.5%) vs BBF:7(7.1%), p = 0.026), there were no significant differences in the postoperative complications between the groups. Conclusion: BCFs take longer to mature but have greater primary patency than BBF. Both of these fistulas had similar postoperative complications. Larger randomized trials are needed to confirm our findings.

Indexed as

Arteriovenous fistulaBrachiobasilicBrachiocephalicChronic kidney diseaseHemodialysis access

Identifiers

PMID39872267
PMCPMC11762823

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.