A Comparison of mNT-BBAVF and BCAVF in Hemodialysis Patients

Completed · Not applicable

Conditions studied: Vascular Fistula

In brief

A well-functioning vascular access is essential for effective hemodialysis. The native arteriovenous fistula (AVF) is the preferred vascular access because of the lower thrombosis and infection risks compared to either synthetic arteriovenous grafts or central venous catheters. Brachiocephalic arteriovenous fistula (BCAVF) and transposed brachiobasilic arteriovenous fistula (T-BBAVF) are recommended when there is either a primary failure or no suitable vessels for the forearm fistula. However, BCAVF is frequently cannulated at the antecubital fossa, the risks of stenosis and thrombosis are high, which will compromise proper BCAVF function and survival. T-BBAVF is not only technically challenging, but also associates with severe arm swelling and pain. Thus, the investigators introduced a novel modified Non-transposed brachiobasilic arteriovenous fistula (mNT-BBAVF) for long-term hemodialysis patients. To confirm its efficacy, a prospective clinical study would be carried out.

Key facts

Study ID

NCT02519933

Run by

Shanghai 10th People's Hospital

People needed

84

Starts

2016-04-01

Expected to finish

2019-08-31

Last updated by the study team

2019-09-25

Who can join

Age: 18 and older, up to 75. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age from 18 to 75 years;
• Radial artery diameter <2.0 mm or cephalic vein diameter in the forearm <2.5 mm;
• Brachial artery diameter ≥ 2 mm

You may not qualify if…

• Stenosis or thrombosis present in the draining vein;
• A history of peripheral ischemia in upper extremities;
• Active local or systemic infections;
• Inability to consent for the procedure;
• Patients with previous dysfunctional forearm fistula.

Where it is running

• Rhode Island Hospital/Brown University Medicine School — Providence, Rhode Island, United States
• The Division of Nephrology & Rheumatology, Shanghai 10th People's Hospital — Shanghai, Shanghai Municipality, China

Full record on ClinicalTrials.gov

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