ABSTRACT
Objective: To evaluate the [one, two, three] year primary and secondary patency of brachiobasilic arteriovenous fistula [BBAVF] as hemodialysis vascular access and procedure complications at King Hussein Medical Center
Methods: A retrospective single-center study, analyzing the patency of 129 BBAVF procedures for hemodialysis vascular access and associated complications. Follow up patency was assessed by adequacy of BBAVF for hemodialysis over 3 years' period
Results: [One, two, three] year primary patency was [75, 62, 47] % respectively and [one, two, three] year secondary patency was [77, 64, 50] % respectively. Failure of maturation was seen in 16 patients [12%]. Hematoma developed in 5 patients [3.9%]. Bleeding related to infection developed in 3 patients [2.3%]. Wound infection developed in 13 patients [10.1%]. Arterial steal developed in 14 patients [10.9%]. Venous hypertension developed in 12 patients [9.3%]. Ischemic monomelic neuropathy developed in 2 patients [1.6%]. Pseudoaneurysm at puncture sites developed in 12 patients [9.3%]. Thrombosis developed in 24 patients [19%]. There was no procedure related mortality
Conclusion: BBAVF is an important and effective option in KHMC for chronic renal failure patients requiring hemodialysis with acceptable patency and complication rates