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Background: People now recognize chronic kidney disease (CKD) as a significant global public health problem. According to the ICMR report on India: Health of the Nations (2017), CKD is the ninth most common cause of death in India. Chronic kidney disease has become more common and burdensome over time, moving from the 30th to the 20th place in terms of disability-adjusted life years (DALYs) between 1990 and 2016. In these patients, ensuring adequate vascular access is critical for achieving e"ective hemodialysis. The aim of this study was to assess the rates of patency and complications associated with basilic transposition arteriovenous (AV) fistulas.
Methods: This retrospective study included all patients (n = 350) who underwent basilic vein transposition (BVT) at our center from January 2017 to 2022, excluding pediatric cases, AV gra#s, and 2-stage basilic transposition. We collected the data from the hospital database and entered it into MS Excel for analysis.
Results: The mean age was 44.09 ± 13.92 years. The most frequent postoperative complications included immediate postoperative bleeding (1.43%), post-hemodialysis bleeding (1.14%), draining vein insertion site stenosis (3.71%), ischemic steal (3.43%), and wound infection (2.29%). The primary patency rates at 1 year and 2 years were 94.86% and 92.58%, respectively. The secondary patency rates at 1 year and 2 years were 96.29% and 93.23%, respectively.
Conclusion: Our study findings indicate the technique’s dependability and e"iciency as a secure vascular access choice for hemodialysis in people with CKD.
Cite this article as: Rajput M, Prajapati C, Shah S. Outcomes of basilic vein transposition arteriovenous fistula under local anesthesia: a singlecenter, retrospective, observational study. Turk J Nephrol. 2025;34(1):42-46.