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Tunnel Transposition of the Cephalic Vein

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The clinical feasibility of AVF superficialization using tunnel transposition of the forearm and upper arm cephalic veins has been suggested by several groups. In a study evaluating the outcomes of 3 different types of one-stage AVF tunnel transposition (forearm cephalic vein transposition, upper arm cephalic vein transposition, and upper arm basilic vein transposition) by Korepta et al. [17], no statistically significant difference was found in the access maturation rate, primary 1-year patency, or primary assisted 1-year patency among the 3 groups. These results indicate that cephalic vein transposition in the forearm and upper arm could be a reliable alternative AVF procedure with patency equivalent to that of TBBAVF. In addition, a revisional tunnel transposition procedure using a minimal incision technique to ensure accessibility was introduced by Inkollu et al. [18].

CKD-Associated Complications: Progress in the Last Half Century

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