Hemodialysis is a treatment that uses a machine to filter the blood outside of the body. Basilic vein transposition is a surgical procedure that involves creating a new pathway for blood flow in the arm by relocating the basilic vein, which is a large vein that runs along the inner aspect of the arm, to a new location. This procedure is typically performed in patients who require long-term hemodialysis.
During the procedure, the basilic vein is first located and exposed in the arm. The vein is then carefully dissected and separated from the surrounding tissue, and any branches or tributaries are tied off or clipped to prevent bleeding. Next, a portion of the vein is removed, leaving enough length for the transposition. The vein is then attached to the brachial artery, which is a major blood vessel in the upper arm, or to another nearby artery. The new connection allows for blood to flow through the vein, which is then used as an access point for hemodialysis.
Recovery involves a hospital stay of several days. During this time, the patient’s arm is closely monitored for signs of bleeding, infection, or other complications. Pain medication may be prescribed to manage discomfort, and the patient may be given antibiotics to prevent infection. The patient is advised to avoid strenuous activity and heavy lifting for several weeks to allow the transposed vein to heal.
Mr. Mohammed Basheer Nathani from Hyderabad, underwent Basilic Vein Transportation, under the supervision of Dr. Nishan Reddy B, Consultant Vascular and Endovascular Surgeon, Yashoda Hospitals.Â