Previous Radial Artery Harvest for Coronary Artery Bypass Graft Does Not Impede Ipsilateral Proximal Vascular Access Construction

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

“…The role of a radial artery harvest in the development of DAASS after HD access creation with brachial artery inflow is described only by case reports and thus is unclear. Asif et al 23 reported a single case of DAASS after a brachiocephalic fistula, whereas Liew et al 24 reported two instances of brachial artery inflow AVFs with no consequent DAASS. Theoretically, the removal of the radial artery would increase the resistance of blood flow to the hand, favor the shunting of blood flow to an HD access with brachial artery inflow, and increase the risk of DAASS.…”