Radiocephalic Fistula Recovery Using the Brachial Vein and Forearm Basilic Vein: A Case Series and Literature Review

• Type: Article in International Scientific Journal
• Date: 2018-12

Authors

de Matos, AN (Author) Other; Sousa, CN (Author) Other; Almeida, P (Author) Other; Paulo Teles (Author) FEP; Rego, D (Author) Other; Teixeira, G (Author) Other; Loureiro, L (Author) Other; Teixeira, S (Author) Other; Antunes, I (Author) Other

Journal

Title: Therapeutic Apheresis and Dialysis

Vol. 22

Pages: 570-574

ISSN: 1744-9979

Publisher: Wiley-Blackwell

Indexing

ISI Web of Knowledge - 4 Citations

Scopus - 4 Citations

Other information

Authenticus ID: P-00P-ZM6

DOI: 10.1111/1744-9987.12719

Abstract (EN): Vascular access dysfunction is a serious problem in dialysis units. Some patients have complex dysfunctions that are difficult to resolve. In this article, we report the case a of two patients with radiocephalic arteriovenous fistulae (RC-AVF) who had stenosis/occlusion of the forearm median vein and where we used the basilic vein of the forearm as a solution. We reviewed the use of this surgical solution in RC-AVF. Two male patients on hemodialysis exhibited stenosis/occlusion of the forearm median vein. The forearm basilic vein was isolated and rotated toward the forearm median vein in order to solve RC-AVF problems. One patient had fistula thrombosis 5 months after the procedure, while for the other patient, the fistula continues to work without problems. Literature describes only a few cases using the forearm basilic vein or the brachial vein for fistula recovery. This procedure increased the patency of fistulas. This approach has been proven to be a good solution for solving outflow problems using the superficial or deep veins, increasing fistula patency and avoiding the need to place a central venous catheter and all the related complications.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 5