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Case Reports
. 2021 Feb 4;7(2):271-274.
doi: 10.1016/j.jvscit.2020.12.021. eCollection 2021 Jun.

Staged brachioradial artery to brachioradial vein arteriovenous fistula creation for hemodialysis access in three patients with a high origin of the radial artery

Zachary Lawrence  1 , Sitaram V Chivukula  1 , Erin C Farlow  1 , Richard R Keen  1 , Neha Sheng  1
Affiliations
Case Reports

Staged brachioradial artery to brachioradial vein arteriovenous fistula creation for hemodialysis access in three patients with a high origin of the radial artery

Zachary Lawrence et al. J Vasc Surg Cases Innov Tech. .

Abstract

When patients lack suitable superficial veins in the upper extremity to create an arteriovenous fistula, surgeons are faced with a decision between a synthetic graft or autologous fistula using deep veins, such as a brachial artery to brachial vein arteriovenous fistula. In patients with a high radial artery origin (or brachioradial artery) and inadequate superficial veins, arteriovenous fistula creation will be even more challenging. In the present report, we describe a technique used in three such patients who underwent successful staged brachioradial artery to brachioradial vein arteriovenous fistula creation.

Keywords: AV access; Arteriovenous fistula; Hemodialysis access; Proximal radial artery; Radial vein; Vascular surgery.

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Figures

Fig 1
Fig 1
Diagram of brachioradial artery to brachioradial vein (BR-BR) arteriovenous fistula (AVF).
Fig 2
Fig 2
Intraoperative image of left upper extremity brachioradial arteriovenous fistula (AVF) superficialization.
Fig 3
Fig 3
Fistulogram of patient 2 with an aneurysm in the mid-arm and stenosis in the proximal arm.
See this image and copyright information in PMC

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