RESUMO
The aim of this study was to assess the immediate and early results of brachio-basilic shunts with immediate superficialization created for chronic haemodialysis. Twenty chronic renal failure patients who had failure of the primary A-V fistula and need a second method for angioaccess were enrolled in the study. Patients' selections were done after detailed history, physical examination, laboratory investigations, colour duplex evaluation of brachial artery and basilic vein and optimizations of the hemodynamic and coagulation status. Surgery was performed under appropriate anesthetic techniques. Antibiotics postoperatively may be used depending on the operating circumstances and considering the patients individual susceptibility to infection. No anticoagulation should be used at least 48 hours postoperatively. Maintenance of adequate hydration and blood pressure both during operation and in the post operative period is important. Follow up of patients for thirty days postoperatively regarding; any complications, Colored duplex for reevaluation of the shunt, and assessment of the feasibility of the shunt for dialysis. our study include 20 patients; 13 male and 7 female, their age ranging from 17 to 70 years and 70% of our patients were in the 5th or sex decade with undefined etiology of renal failure. 45% of our patients had other associated disease, while 55% had previous trials of AVF, 20% had failure of the procedure, and 35% had postoperative complications. The study showed that the age, size of vein and artery pre-operatively previous trials had no significant effect on the outcome of the shunt. While the diseases associated with chronic renal failure showed significant difference on the outcome of the shunt. the brachio basilic fistula with immediate superficialization is a reliable method for angioaccess for hemodialysis in patients suffering chronic renal failure had been losing their primary angioaccess or having poor superficial veins