Vasc Spec Int.
2020 Dec;36(4):263-265. 10.5758/vsi.200060.
Brachial Vein Transposition with Consecutive Skin Incisions in a Hemodialysis Patient with Absence of Adequate Superficial Veins: A Case Report
- Affiliations
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- 1Department of Vascular and Endovascular Surgery, Rouhani Hospital, Babol University of Medical Sciences, Babol
- 2Student Research Committee, Babol University of Medical Sciences, Babol
- 3MSc student in nursing, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences,Tehran, Iran
- KMID: 2510492
- DOI: http://doi.org/10.5758/vsi.200060
Abstract
- 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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