{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T05:58:42Z","timestamp":1740981522640,"version":"3.38.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> Transposition arteriovenous fistulas (T-AVF) play an important role in establishing autogenous vascular access for many hemodialysis patients. When the basilic vein is not available, one of the paired brachial veins offers a reliable T-AVF option, generally as a two-staged operation. Uncommonly, the brachial vein outflow conduit dissipates into multiple small branches communicating with the paired brachial vein or occasionally with a residual proximal segment of the basilic vein. We utilized parallel outflow vein component segments to create additional outflow vein length necessary for successful T-AVFs in these patients. <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p> We identified four patients where a vein length extension technique utilizing parallel and overlapping vein segments with an end-to-end anastomosis gained adequate length for successful T-AVFs. All transpositions were based on a first stage AVF with access outflow established into a brachial vein. <\/jats:p><\/jats:sec><jats:sec><jats:title>Case Reports<\/jats:title><jats:p> Three of the operations utilized paired brachial vein segments and one gained needed access outflow length with a brachial vein anastomosis to a residual proximal basilic vein segment. All four patients had functional T-AVFs at 4, 5, 7, and 14 month follow-up. None of the patients developed arm swelling. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Creating a longer transposition AVF venous outflow segment using parallel and overlapping vein segments with an end-to-end anastomosis gained the adequate length needed for successful T-AVFs in these four patients. <\/jats:p><\/jats:sec>","DOI":"10.5301\/jva.2011.8383","type":"journal-article","created":{"date-parts":[[2011,6,1]],"date-time":"2011-06-01T13:36:07Z","timestamp":1306935367000},"page":"377-380","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Extending Outflow Brachial Vein Tength for Transposition Arteriovenous Fistulas"],"prefix":"10.1177","volume":"12","author":[{"given":"William C.","family":"Jennings","sequence":"first","affiliation":[{"name":"Department of Surgery, School of Community Medicine, University of Oklahoma-Tulsa, Tulsa, OK - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. Anthony","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Community Medicine, University of Oklahoma-Tulsa, Tulsa, OK - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred S.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Community Medicine, University of Oklahoma-Tulsa, Tulsa, OK - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"McMurray","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Community Medicine, University of Oklahoma-Tulsa, Tulsa, OK - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,1,6]]},"reference":[{"key":"bibr1-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.01.047"},{"key":"bibr2-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.12.062"},{"key":"bibr3-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.07.077"},{"key":"bibr4-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(02)01103-0"},{"key":"bibr5-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.141.1.27"},{"key":"bibr6-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(01)70007-8"},{"key":"bibr7-JVA.2011.8383","unstructured":"Fistula First: National Vascular Access Improvement Initiative [homepage on the Internet]. [Revised 2009; Cited 2010 Oct 28]. Available from: http:\/\/www.fistulafirst.org\/."},{"key":"bibr8-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2001.00947.x"},{"key":"bibr9-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-1755.2002.kid551.x"},{"key":"bibr10-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2002.34924"},{"key":"bibr11-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.08.042"},{"key":"bibr12-JVA.2011.8383","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.03.044"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/JVA.2011.8383","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/JVA.2011.8383","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:55:16Z","timestamp":1740963316000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/JVA.2011.8383"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2011,1]]}},"alternative-id":["10.5301\/JVA.2011.8383"],"URL":"https:\/\/doi.org\/10.5301\/jva.2011.8383","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"type":"print","value":"1129-7298"},{"type":"electronic","value":"1724-6032"}],"subject":[],"published":{"date-parts":[[2011,1]]}}}