Brachiocephalic A-V fistula through the median cubital vein; A reliable option to failure of forearm fistulas. A case report from CHU Yaoundé

Abstract

HighlightsWe describe a brachiocephalic access created with retrograde flow through the median cubital vein.Anatomical consideration for choice of a vascular access for maintenance haemodialysis are review.This access can be useful to avoid difficulties of venipuncture of brachiobasilic fistula and in failure of forearm fitulas.

Median Cubital Vein Traveling Deep to the Bicipital Aponeurosis: Anatomical Description With Application to Venipuncture and Vascular Access in the Cubital Fossa

“…The MCV is frequently utilized to draw blood, and chemotherapy can also be administered here if the patient in question does not have a port or central venous line [ 4 ]. Interestingly, if the patient is unable to tolerate a forearm arteriovenous fistula (AVF), a brachiocephalic AVF can be made with the median cubital vein [ 5 ]. The cubital fossa is not only relevant for the purposes of diagnostic testing and treatment, but several pathologies can also arise due to issues in this area.…”