Ignite Creation Date:
2024-05-06 @ 8:18 PM
Last Modification Date:
2024-10-26 @ 3:25 PM
Study NCT ID:
NCT06336226
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-04-05
First Post:
2024-03-22
Brief Title:
Brachio Basilic Arterio Venous Fistula One Stage vs Two Stage
Sponsor:
Assiut University
Organization:
Assiut University
Study Overview
Official Title:
Brachio Basilic Arterio Venous Fistula One Stage Versus Two Stage as a Hemodialysis Access
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this work was to compare primary failure rates and the primary functional patency of one-stage vs two stage brachiobasilic fistulas to compare the two surgical techniques
Detailed Description:
In the last two decades there have been concerted efforts by the National Kidney Foundation Dialysis Outcomes Quality Initiative NKF-DOQI and the Fistula First Breakthrough Initiative to decrease the use of prosthetic grafts and increase autogenous native arteriovenous fistulaAVF creation for hemodialysis access When considering vascular access for hemodialysis on the basis of patency resistance to infectionand associated complications Native AVF should be selected as the first choice whenever possible If the cephalic vein in the upper arm is unusable for AVF construction the basilic vein can be superficialized and anastomosed to the brachial artery at the elbow to form a brachiobasilic arteriovenous fistula BBAVF
If a BB AVF is to be constructedduplex ultrasound should be used to check the path and size of the basilic vein It is also important to determine if an adequate length can be mobilized
The BB fistulae can be formed in one stage or two stages To date limited and conflicting data exist regarding primary failure and the patency rates of one-stage and two-stage procedures Each procedure has advantages and disadvantages Both one-stage and two-stage procedures have their advantages and disadvantages
Which procedure results in improved outcomes remains unclear However the basic principle is to superficialize the basilic vein and make it amenable to needle puncture
If a BB AVF is to be constructedduplex ultrasound should be used to check the path and size of the basilic vein It is also important to determine if an adequate length can be mobilized
The BB fistulae can be formed in one stage or two stages To date limited and conflicting data exist regarding primary failure and the patency rates of one-stage and two-stage procedures Each procedure has advantages and disadvantages Both one-stage and two-stage procedures have their advantages and disadvantages
Which procedure results in improved outcomes remains unclear However the basic principle is to superficialize the basilic vein and make it amenable to needle puncture
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None