Introduction

For patients who need long-term dialysis, creating a strong and reliable vascular access is crucial. One of the advanced surgical methods used is Basilic Vein Transposition (BVT). At Iswarya Hospital, this procedure is performed in our sterile operation theatres (OT) by experienced vascular surgeons to ensure maximum safety and better long-term outcomes.

What is Basilic Vein Transposition?

The basilic vein is a large vein in the upper arm. In some patients, it is not easily accessible for dialysis. Basilic Vein Transposition is a surgical procedure where the basilic vein is moved (transposed) to a more superficial position in the arm, making it suitable for repeated dialysis needle insertions.

Why is it Needed?

1. Other veins (like cephalic vein) are not suitable for fistula creation
2. Patients need a durable vascular access for long-term dialysis
3. Previous vascular access has failed or is not functioning well
4. The basilic vein is healthy but located too deep under the skin

How is it Done at Iswarya Hospital?

At Iswarya Hospital, our vascular surgeons perform Basilic Vein Transposition in the operation theatre under sterile conditions. The procedure involves:

1. Identifying the basilic vein through ultrasound mapping
2. Carefully dissecting and mobilizing the vein
3. Bringing it to a superficial position in the arm
4. Creating an arteriovenous (AV) connection to allow high blood flow for dialysis

Benefits of Basilic Vein Transposition

1. Provides long-lasting dialysis access
2. Higher blood flow and better dialysis efficiency
3. Reduces risk of repeated catheter insertions
4. Done under sterile OT environment for safety
5. Performed by skilled vascular surgeons at Iswarya Hospital

Recovery and Aftercare

1. Patients may need a short hospital stay for monitoring
2. The arm should be kept elevated to reduce swelling
3. Our nursing team provides complete instructions on wound care and exercise to improve vein function
4. Regular follow-up ensures proper maturation of the fistula for dialysis use

Why Choose Iswarya Hospital?

1. Expert Surgeons: Experienced vascular surgeons perform the procedure with precision
2. Advanced Operation Theatres: Equipped with modern surgical technology to ensure sterile, safe procedures
3. Multi-Speciality Care: Nephrology, vascular surgery, anesthesia, and critical care teams work together
4. 24/7 Support: 24/7 care for dialysis and vascular access needs
5. Trusted Centre in OMR, Chennai: With over 400 beds and advanced facilities, Iswarya Hospital is a trusted name in multi-speciality care

Conclusion

Basilic Vein Transposition in OT is a highly effective option for creating durable vascular access for dialysis patients. At Iswarya Hospital, OMR, Chennai, our team ensures that patients receive safe, advanced, and compassionate care throughout their dialysis journey.

If you need reliable dialysis access, Iswarya Hospital is here to guide you with expertise and support.

FAQs

1. What is Basilic Vein Transposition used for?

It is used to create a durable vascular access for long-term dialysis.

2. How long does it take for the vein to mature after BVT?

It usually takes 6–8 weeks for the vein to mature before it can be used for dialysis.

3. Is the procedure painful?

It is done under anesthesia, so patients do not feel pain during surgery. Mild discomfort may be felt after surgery.

4. Can all dialysis patients undergo BVT?

No, the suitability depends on the patient’s vein condition. A vascular surgeon will evaluate before recommending it.

5. Why is it done in an operation theatre?

Performing BVT in a sterile OT environment reduces infection risks and ensures precise surgical outcomes.