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Case Reports
. 2018 Apr 12;4(2):73-75.
doi: 10.1016/j.jvscit.2017.12.008. eCollection 2018 Jun.

Use of the distal radial artery remnant for autogenous radial-cephalic wrist fistula after radial artery harvest for coronary artery bypass grafting

Ignatius Lau  1 , C Y M Png  1 , Parth Trivedi  1 , David Finlay  1
Affiliations
Case Reports

Use of the distal radial artery remnant for autogenous radial-cephalic wrist fistula after radial artery harvest for coronary artery bypass grafting

Ignatius Lau et al. J Vasc Surg Cases Innov Tech. .

Abstract

Harvesting of the radial artery is a common technique used to provide conduit for coronary artery bypass graft surgery. We report the case of a patient with exhausted left upper extremity access options, history of left upper extremity dialysis access-associated steal syndrome, and prior right radial artery harvest for coronary artery bypass graft who received an autogenous distal radial artery remnant to cephalic vein wrist fistula.

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Figures

Fig
Fig
Forearm and hand arterial and venous anatomy with the autogenous distal radial artery remnant to cephalic vein wrist fistula. Unidirectional retrograde flow in the distal radial artery remnant supplies the fistula. Antegrade flow, as demonstrated by the arrows in the classic autogenous radial-cephalic wrist fistula, reduces the risk of steal syndrome in comparison to the autogenous distal radial artery remnant to cephalic vein wrist fistula. All rights reserved Mount Sinai Health System.
See this image and copyright information in PMC

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