J Korean Soc Vasc Surg.
2004 May;20(1):146-148.
Delayed Superficial Transposition of Cephalic Vein for Salvage of Brachiocephalic FIstula
- Affiliations
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- 1Department of Surgery, Hanyang University Guri Hospital, Guri, Korea. hkbaik@hanyang.ac.kr
- 2Department of Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital, Guri, Korea.
Abstract
- The small diameter and sclerosis of the veins are the main causes of failure of autogenous arterio-venous fistula(AVF) for hemodialysis. In addition, the deep location of veins prevents adequate access postoperatively, as exemplified by the frequent requirement of transposition of basilic veins either primarily or delayed. As for the cephalic veins, superficial transposition was not emphasized. We report a case of brachiocephalic AVF which required delayed superficial transposition for access. We emphasize that the depth of veins should be considered for adequate creation of AVF.
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