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KMID : 1037520200360040263
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Vascular Specialist International
2020 Volume.36 No. 4 p.263 ~ p.265
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Brachial Vein Transposition with Consecutive Skin Incisions in a Hemodialysis Patient with Absence of Adequate Superficial Veins: A Case Report
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Tayebi Pouya
Mahmoudlou Fatemeh
Daryabari Yasaman
Shamsian Atefeh
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Abstract
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The creation of an arteriovenous fistula instead of a synthetic vascular graft is a smart decision in hemodialysis patients who do not have a suitable superficial vein. Basilic vein transposition (BVT) is a viable option in most cases, except in patients who do not have a proper basilic vein. In patients with inadequate superficial veins, another source of the autogenous vein is the brachial vein, a deep vein of the upper arm. Most surgeons choose a full medial arm incision to perform brachial vein exploration. We describe a patient in whom BVT was not possible and so brachial vein transposition using skip incisions was performed, with good results.
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KEYWORD
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Brachial vein transposition, Basilic vein transposition, Skip incisions, Dialysis access, Arteriovenous fistula
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