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

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 th...

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Bibliographic Details
Published in:Hemodialysis international 2016-04, Vol.20 (2), p.E15-E17
Main Authors: Sousa, Clemente Neves, Norton de Matos, António, Rocha, Ana, Almeida, Paulo, Xavier, Eva
Format: Article
Language:English
Subjects:
Aged
arteriovenous fistula
Arteriovenous Fistula - etiology
Arteriovenous Shunt, Surgical
basilic vein
cephalic vein
Female
Humans
Kidney Failure, Chronic - complications
Renal Dialysis
Vascular access
Vascular Access Devices - utilization
Veins
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Summary: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.
ISSN:1492-7535
1542-4758
DOI:10.1111/hdi.12310