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

Hou Yi, Feng Guozheng, Yan Yonghong and Hou Guocun

Department of Radiology, Baotou Central Hospital, China Department 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

Cite the Article:

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.