Brachial‐cephalic fistula recovered with drainage for the basilic vein: Case report

Abstract

Vascular access is essential for the implementation of hemodialysis (HD). The arteriovenous fistula (AVF) can be constructed in various locations using various veins. However, the quality of the veins will influence the construction site, as well as the functioning of the AVF. Careful analysis of the vascular network allows options for the development of new fistulas presentations. We present and discuss the case of a woman aged 69 years in HD in which a brachial-cephalic fistula with drainage to basilic vein was created, through rotation of the cephalic vein on the forearm level. This kind of access serves to prolong the time spent dialyzing through native fistulae, with their reduced complications and greater cost-effectiveness.

Radio‐cephalic arteriovenous fistula recovered with drainage through the brachial vein

“…This solution allows the patient to keep RC‐AVF in functioning, not to place central venous catheter, and increase the patency of the current fistula. It also allows preserving the vascular network for future accesses (brachial and basilic vein); arterialization of the brachial vein and contributing to increase its diameter . The brachial vein has currently a 3.7 mm diameter, which can ease its future transposition in a one stage …”

“…It also allows preserving the vascular network for future accesses (brachial and basilic vein); arterialization of the brachial vein and contributing to increase its diameter. 3,4 The brachial vein has currently a 3.7 mm diameter, which can ease its future transposition in a one stage. 5 The use of the brachial vein for vascular access is not popular among vascular surgeons, but may be a good hypothesis for a permanent autologous access.…”

Radio‐cephalic fistula recovered with drainage to forearm basilic vein

“…However, Sousa et al 4 used in 2016 the forearm basilic vein as outflow of the brachial-cephalic fistula. However, Sousa et al 4 used in 2016 the forearm basilic vein as outflow of the brachial-cephalic fistula.…”

“…However, Sousa et al 4 used in 2016 the forearm basilic vein as outflow of the brachial-cephalic fistula. 4 The basilic vein has currently a 5 mm diameter which can ease its future transposition in a single stage. We decided to analyze the vascular network of the left arm with ultrasound, in order to identify the best solution for arteriovenous access.…”

“…Most common solutions cannot be performed in some RC-AVF, because of fistula limited arterial outflow, decrease or absence of venous network, problems in arterial network or because of all these reasons. 4 The forearm basilic vein is a good solution for correction of AVF problems.…”