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Prophylactic Ligation of the Median Cubital Vein to Improve the Patency of a Radio Cephalic Fistula

Received: 18 December 2015     Accepted: 1 February 2016     Published: 23 February 2016
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Abstract

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.

Published in Advances in Surgical Sciences (Volume 4, Issue 1)
DOI 10.11648/j.ass.20160401.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Radio Cephalic Fistula, Median Cubital Vein, Ligation, Renal Disease

References
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[3] Astor BC, Eustace JA, Powe NR, et al. Type of vascular access and survival among incident hemodialysis patients: The Choices for Healthy Outcomes in Caring for ESRD (CHOICE) Study. J Am Soc Nephrol. 2005; 16(5): 1449-1455.
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[5] Oliver MJ, McCann RL, Indridason OS, et al. Comparison of transposed brachiobasilic fistulas to upper arm grafts and brachiocephalic fistulas. Kidney Int. 2001; 60(4): 1532-1539.
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[19] Tonelli M, Jhangri GS, Hirsch DJ, et al. Best threshold for diagnosis of stenosis or thrombosis within six months of access flow measurement in arteriovenous fistulae. J Am Soc Nephrol. 2003; 14(12): 3264-3269.
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Cite This Article
  • APA Style

    Chandrasekhar Chevuturu, Mudigonda Somasekhar, Sanjay Maitra, Manoj. K. Agarwala. (2016). Prophylactic Ligation of the Median Cubital Vein to Improve the Patency of a Radio Cephalic Fistula. Advances in Surgical Sciences, 4(1), 1-5. https://doi.org/10.11648/j.ass.20160401.11

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    ACS Style

    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. Adv. Surg. Sci. 2016, 4(1), 1-5. doi: 10.11648/j.ass.20160401.11

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    AMA Style

    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. Adv Surg Sci. 2016;4(1):1-5. doi: 10.11648/j.ass.20160401.11

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  • @article{10.11648/j.ass.20160401.11,
      author = {Chandrasekhar Chevuturu and Mudigonda Somasekhar and Sanjay Maitra and Manoj. K. Agarwala},
      title = {Prophylactic Ligation of the Median Cubital Vein to Improve the Patency of a Radio Cephalic Fistula},
      journal = {Advances in Surgical Sciences},
      volume = {4},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ass.20160401.11},
      url = {https://doi.org/10.11648/j.ass.20160401.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20160401.11},
      abstract = {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.},
     year = {2016}
    }
    

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    T1  - Prophylactic Ligation of the Median Cubital Vein to Improve the Patency of a Radio Cephalic Fistula
    AU  - Chandrasekhar Chevuturu
    AU  - Mudigonda Somasekhar
    AU  - Sanjay Maitra
    AU  - Manoj. K. Agarwala
    Y1  - 2016/02/23
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    N1  - https://doi.org/10.11648/j.ass.20160401.11
    DO  - 10.11648/j.ass.20160401.11
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
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    UR  - https://doi.org/10.11648/j.ass.20160401.11
    AB  - 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.
    VL  - 4
    IS  - 1
    ER  - 

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Author Information
  • Department of Vascular Surgery, Apollo Hospitals, Jubilee Hills, Hyderabad, India

  • Department of Nephrology, Apollo Hospitals, Jubilee Hills, Hyderabad, India

  • Department of Nephrology, Apollo Hospitals, Jubilee Hills, Hyderabad, India

  • Department of Cardiology, Apollo Hospitals, Jubilee Hills, Hyderabad, India

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