The use of basilic vein and brachial artery as an A-V fistula for long term hemodialysis

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Abstract

  • 1.

    1. A new access for long-term hemodialysis has been developed by creating a fistula in the upper arm between the end of the basilic vein and the side of the brachial artery.

  • 2.

    2. The operative procedure is simple to carry out, providing a straight, long, easily accessible fistula with high flow.

  • 3.

    3. The use of Bovine, saphenous, or prosthetic grafts is avoided, and anatomic continuity at the venous end of the fistula is maintained.

  • 4.

    4. The initial experience suggests that the trouble-free patency rate is high.

  • 5.

    5. The procedure is indicated when suitable vessels are not available at the wrist or forearm.

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