EVIDENCE BASED COMPARISON OF BASILIC VEIN SUPERFICIALIZATION VERSUS SYNTHETIC POLYTETRAFLUOROETHYLENE (PTFE) GRAFTS FOR HEMODIALYSIS

Aim: To use evidence based data to compare basilic vein superficialization synthetic graft for hemodialysis. Patients and methods: Two groups of patients: Group 1:50 patients with basilic vein superficialization . Group 2:50 patients with synthetic PTFE graft. The comparison includes: indications, patency rates using and complications Results: Statistical analysis of the results for both groups was done to determine the indications, type of anesthesia used, time consumed in operation theatre primary secondary patency rate complications. Functional patency rate at one two years was better in group 1 than group 2 (P 0.05) which is statistically significant. In group 1 local anesthesia was more used than group 2 and with less need for additional sedation, but the difference was not significant. The mean time consumed for operation of prosthetic graft is(54.6+10.6 min) which was shorter than that used for superficialization of the basilic vein but this was not statistically significant. As regarding complications: Infection, thrombosis and pseudoaneurysms were statistically significant higher in group2 than groupl, while the rate of bleeding, venous hypertension steel were also higher in group 2 but the difference was not statistically significant. The role of successful endovascular management of segmental stenosis was statistically significantly higher in group 1. Conclusion: Superficialization of the basilica vein provides superior patency and less complication rates compared to synthetic PTEF graft