Retrograde transradial Approach for Hemodialysis Access Intervention: A Single-Center Study

Authors

  • GM Mokbul Hossain Associate Professor, Vascular Surgery, NICVD, Dhaka, Bangladesh
  • Naresh Chandra Mandal Associate Professor, Vascular Surgery, NICVD, Dhaka, Bangladesh
  • Rakibul Hasan Assistant Professor, Vascular Surgery, BSMMU, Dhaka, Bangladesh
  • Nirmal Kanti Dey Assistant Professor, Vascular Surgery, NICVD, Dhaka, Bangladesh
  • Abdullah Al Mamun Assistant Professor, Vascular Surgery, NICVD, Dhaka, Bangladesh
  • SMG Saklayen Assistant Professor, Vascular Surgery, Ibrahim Cardiac Hospital, Dhaka, Bangladesh
  • Swadesh Ranjan Sarker Assistant Professor, Vascular Surgery, NICVD, Dhaka, Bangladesh
  • Motiur Rahman Sarker Assistant Professor, Vascular Surgery, Chittagong Medical College, Dhaka, Bangladesh
  • AKM Ziaul Huque Assistant Registrar, Vascular Surgery, NICVD, Dhaka, Bangladesh
  • Shajadi Ferdous Sonologist, Bangladesh Medical College Hospital, Dhaka, Bangladesh
  • Md Mujibur Rahman Rony Assistant Registrar, Vascular Surgery, NICVD, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bhj.v35i1.49143

Keywords:

Arteriovenous Fistula (AVF), Transradial Approach (TRA)

Abstract

Perianastomotic stenosis is a common scenario after creation of arteriovenous fistula for hemodialysis. Most of the interventionists prefer transvenous approach. But transradial approach can easily visualize radial artery and cephalic venous tree up to central vein. This retrospective study was performed from November 2012 to January 2017 in Ibn Sina Hospital, Dhanmondi, Dhaka. Total patients undergoing hemodialysis access were 148 (male 74, female 74, male-female ratio 1:1). Number of radiocephalic fistula was 95 (64%), brachiocephalic fistula 50 (34%) & others 3 (2%). Most of the punctures were done by palpation. Sometimes puncture was made by ultrasonogram guidance. Puncture needle size was 21 gauge, 2.5cm or 4cm long. Sheath size was 6 F x 4 cm or 7 F x 4cm. Majority of the cases (140) were successfully approached through retrograde transradial route. Few cases (8) were approached through retrograde venous route due to thrombosis of radial artery for previous intervention or creation of radiocephalic fistula in an end to end fashion. It was concluded that retrograde transradial approach to dilate perianastomotic stenosis as well as outflow vein is a good option.

Bangladesh Heart Journal 2020; 35(1) : 54-60

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Published

2020-09-15

How to Cite

Hossain, G. M., Mandal, N. C., Hasan, R., Dey, N. K., Mamun, A. A., Saklayen, S., Sarker, S. R., Sarker, M. R., Huque, A. Z., Ferdous, S., & Rony, M. M. R. (2020). Retrograde transradial Approach for Hemodialysis Access Intervention: A Single-Center Study. Bangladesh Heart Journal, 35(1), 54–60. https://doi.org/10.3329/bhj.v35i1.49143

Issue

Vol. 35 No. 1 (2020)

Section

Original Articles

License

© Bangladesh Cardiac Society.  

Creative Commons Licence
Articles in the Bangladesh Heart Journal are Open Access articles published under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC).  This license permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.