What is a basilic vein transposition?
The conventional surgical technique of basilic vein transposition consists of dissection and mobilizing the basilic vein at the medial side of the upper arm. After dissection, the basilic vein is transposed to a subcutaneous tunnel on the anterior surface of the arm and anastomosed to the brachial artery [10,11].
Table of Contents
What is a basilic vein transposition?
The conventional surgical technique of basilic vein transposition consists of dissection and mobilizing the basilic vein at the medial side of the upper arm. After dissection, the basilic vein is transposed to a subcutaneous tunnel on the anterior surface of the arm and anastomosed to the brachial artery [10,11].
What is a brachial basilic transposition?
The basilic vein is gently distended with heparinized saline to eliminate distortion. The brachial artery is then explored at the elbow. The mobilized basilic vein is transposed to the anterior arm inside a subcutaneous pocket by direct dissection (transposition).
What does vein transposition mean?
CONVENTIONAL BASILIC VEIN TRANSPOSITION (BVT) After dissecting the basilic vein up to axillary vein, it is cut in the cubital fossa and transposed into the subcutaneous tissue by multiple small incisions. End to side basilic vein brachial artery anastmosis is done.
What is the CPT code for basilic vein transposition?
This is typically reported by CPT code 36819 (arteriovenous anastomosis, open; by upper arm basilic vein transposition).
What is the use of basilic vein?
The function of the basilic vein is to drain the blood from portions of your hand and arm so it can go back to the heart and lungs to be oxygenated and pumped out again. The dorsal venous network of the hand drains the blood from the palm of your hand and sends it upward to the basilic vein.
Where is your basilic vein?
The basilic vein runs down the ulnar side of the arm, and also helps in draining the dorsal venous network of the hand. It is shorter than the cephalic vein, and terminates once it joins the brachial vein near the elbow.
What is fistula transposition?
The arteriovenous fistula transposition is based on a first-stage proximal radial artery to median cubital vein arteriovenous fistula. Transposed brachial veins were elevated and positioned anteriorly to the incision to avoid repeated needle access through the surgical scar (Fig 2).
What is meant by the term transposition?
Definition of transposition 1a : an act, process, or instance of transposing or being transposed. b : the transfer of a segment of DNA from one site to another in the genome. 2a : the transfer of any term of an equation from one side over to the other side with a corresponding change of the sign.
What is Superficialization of AV fistula?
‘Superficialization’ or ‘fistula elevation’ involves an incision from the wrist to the proximal forearm in radiocephalic fistulas, and from the antecubital fossa to the proximal upper arm in brachiocephalic or brachiobasilic fistulas.
What is a Brachiocephalic AV fistula?
The brachiocephalic fistula is an upper arm fistula created by anastomosing the cephalic vein to the brachial artery. A transverse incision is made over the antecubital fossa. The brachial artery and cephalic vein are dissected, mobilized, and secured using vessel loops.
Why is it called the basilic vein?
The basilic vein is a large superficial vein of the upper limb that helps drain parts of the hand and forearm….
| Basilic vein | |
|---|---|
| Source | Dorsal venous network of hand |
| Drains to | Axillary vein, Median cubital vein |
| Identifiers | |
| Latin | Vena basilica |
Does basilic vein transposition for vascular access compare with arteriovenous grafts?
Basilic vein transposition for vascular access (BAVA) represents a suitable option for creating a tertiary native vascular access for hemodialysis on the upper extremities for patients requiring long term hemodialysis. The purpose of the study is to compare BAVAs with arteriovenous grafts (AVG).
How is the basilic vein mobilised in brachial vein thrombosis (BVT)?
In one-stage BVT, the basilic vein is mobilised through a single incision, placed inside an anterolateral arm tunnel and anastomosed with the brachial artery.
How do you dissection a basilic vein?
This figure shows a basilic vein mobilized through a single incision along the medial aspect of the arm in preparation for a one-stage transposition procedure. The vein is dissected (arrow) in its entire length by dividing all tributaries with 4/0 silk suture.
When is an upper arm basilic vein transposition indicated for fistula?
An upper arm basilic vein transposition should be considered whenever a forearm fistula fails or is not feasible. Preference should be given to either a brachiocephalic fistula or a basilic vein transposition, depending on vein size.
