World J Vasc Surg | Volume 1, Issue 1 | Research Article | Open Access

Brachial Artery-Brachial Vein Arteriovenous Fistula: An Alternative to Prosthetic Graft Fistula

Kreidy Raghid^*

Department of Vascular Surgery, Saint George Hospital, University of Balamand, Lebanon

^*Correspondance to: Kreidy Raghid 

Fulltext PDF

Abstract

When superficial veins are not suitable, creating an Arteriovenous Fistula (AVF) using prosthetic graft was the following option. Prosthetic AVF has been associated with a shorter patency and a higher rate of complications comparing to autogenous AVF. Brachial artery-brachial vein fistula with transposition of the brachial vein has been proposed as an alternative to prosthetic fistula.Although surgical experience with this fistula is still limited, many studies reported good patency and low complications rates. Better results have been achieved with the latest series and are secondary to a deep comprehension of the anatomical characteristics of the brachial vein and to the refinement of surgical techniques. The author reviewed the published studies related to this novel surgical procedure. In this article, he describes surgical techniques, analyzes complications, exposes comparative results with other procedures and suggests recommendations for the creation of this promising fistula in selected patients.

Keywords:

Arteriovenous; Fistula; Brachial vein; Graf; Prosthesis

Citation:

Raghid K. Brachial Artery-Brachial Vein Arteriovenous Fistula: An Alternative to Prosthetic Graft Fistula. World J Vasc Surg. 2018; 1(1): 1003.