Ann Clin Case Rep | Volume 5, Issue 1 | Case Report | Open Access

Modified Non-Transposed Brachiobasilic Fistula is a Good Choice for Patients with Radial Artery Insufficiency in the Forearm

Hou Yi1, Feng Guozheng2, Yan Yonghong1 and Hou Guocun2*

1Department of Radiology, Baotou Central Hospital, China 2Department of Nephrology, Baotou Central Hospital, China

*Correspondance to: Hou Guocun 

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Abstract

A Non-Transposed Brachiobasilic Arteriovenous Fistula (NT-BBAVF) involves a side-to-side anastomosis between the brachial artery and basilic vein. An NT-BBAVF must be considered in the elbow region before placing a brachiocephalic arteriovenous fistula in patients with radial artery insufficiency of the forearm that requires hemodialysis. Herein, we introduce another modified Non-Transposed Brachio Cubital AVF (NT-BCAVF). In this case, we lowered the anastomotic position, ligated the perforating vein, and rendered the forearm cephalic vein valves incompetent by inserting a ureteral catheter. In this case, NT-BCAVF was comparable to wrist radiocephalic AVF. The NT-BCAVF is an ideal surgical procedure, especially when the forearm arteries are insufficient and the cephalic vein is good.

Keywords:

Non-transposed brachiobasilic arteriovenous fistula; Median cubital vein; Perforating vein; Ureteral catheter; Cephalic vein

Citation:

Yi H, Guozheng F, Yonghong Y, HGuocun o. Modified Non-Transposed Brachiobasilic Fistula is a Good Choice for Patients with Radial Artery Insufficiency in the Forearm. Ann Clin Case Rep. 2020; 5: 1828. ISSN: 2474-1655.

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