Program Book - Keck School of Medicine of USC - University of ...

Comparison of brachial-basilic AVfistula and prosthetic forearm graft• 105 patients were randomized for a BBAVF orloop AVG (non heparin bonded)• Primary and assisted-primary 1-year patencywere significantly higher in the BBAVF group• Secondary patencies were comparableKeuter et al JVS 2008Comparison of transposed brachiobasilic fistulas toupper arm grafts and brachiocephalic fistulasOliver et al Kidney Int 2001Compared with BBAVF– BCAVF less likely to failRR 0.3 (95% CI, 0.1 to 1.0)– BCAVF trend for less thrombosisRR 0.3 (95% CI 0.1 to 1.1)– Upper arm AVG more likely to thromboseRR 2.6 (95% CI, 1.3 to 5.3) excluding primary failuresRR 1.6 (95% CI, 1.0 to 2.7) when accounting for the lower risk ofprimary failure of AVGConfidence interval includes 1.0No significant difference in cumulative patency (failurefreesurvival) among 3 types of access if primary failureincluded (median follow-up:594 days)Racial differences in AVfistula ratesStudies have reported thatAfrican American patients:– Fewer first time AVF– Lower fistula primary patency rates– Higher fistula complication rates3342