The basilic vein is disconnected and dilated with heparinised solution fig. A one stage basilic vein transposition usually matures if the basilic vein is larger than 3 5 mm but a two stage basilic vein transposition should be constructed if the vein is between 2 5 and 3 5 mm.
3 and then transposed inside an anterolateral subcutaneous tunnel.
Basilic vein transposition. Therefore the basilic vein transposition bvt as a secondary option is recommended in those patients the bvt is a time consuming and technically challenging procedure with significant perioperative morbidity due to long incisions and extensive surgical dissection. Brachial basilic transposition technique the basilic vein courses along the ulnar aspect of the forearm passing 1 to 2 cm anterior to the medial epicondyle. Full length of the basilic vein is transpositioned toward lateral side of the upper arm by tunneling under the skin with 6 mm tunneler and anastomosed to the brachial artery with end to side manner.
If the basilic vein is smaller than 2 5 mm failure is common. 4 or proximal radial or ulnar artery with 7 0 polypropylene suture. The vein converges with the median cubital vein above the antecubital crease.
47 to 96 maturation rate. Background primary patency 1 year. The basilic vein was ultimately freed in its entirety from just above the antecubital crease to the axilla at the level of the axillary vein.
There was noted to be excellent flow through the vein. 50 to 90 secondary patency 1 year. A pocket was then created just lateral to the incision in the subcutaneous tissue.
Following patient heparinisation 3000 units of unfractionated heparin intravenously the basilic vein is anastomosed to the brachial artery fig. After anastomosis skin incisions are subcuticularly approximated with vicryl 4 0. Upper arm basilic vein transposition fistula is an excellent tertiary autologous vascular access after radio cephalic and brachio cephalic fistula.