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Radio‐cephalic arteriovenous fistula recovered with drainage through the brachial vein
Author(s) -
Norton de Matos António,
Sousa Clemente Neves,
Almeida Paulo,
Teles Paulo,
Rego Duarte,
Teixeira Gabriela,
Loureiro Luís,
Teixeira Sérgio
Publication year - 2018
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/hdi.12641
Subject(s) - medicine , cephalic vein , hemodialysis access , arteriovenous fistula , hemodialysis , brachial artery , vein , fistula , surgery , vascular access , vascular surgery , radiology , cardiac surgery , blood pressure
Abstract Dysfunction of arteriovenous access for hemodialysis is a challenge for the vascular surgeon. Some patients have complex vascular access with problems that are difficult to solve. Careful analysis of the vascular network with ultrasound and dissection of the veins during surgery can help to identify the best option for each access. We introduce and discuss the case of creation of a radio‐cephalic fistula with outflow into the brachial vein in 64‐year‐old hemodialysis male patient. This technique enables extending fistula patency, arterializing the brachial vein, and improves cost efficiency.