Brachial Vein Transposition with Consecutive Skin Incisions in a Hemodialysis Patient with Absence of Adequate Superficial Veins: A Case Report

Vascular Specialist International

Pouya Tayebi¹  Atefeh Shamsian²  Fatemeh Mahmoudlou³  Yasaman Daryabari³ 

[1] Department of Vascular and Endovascular Surgery, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran;MSc student in nursing, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran;Student Research Committee, Babol University of Medical Sciences, Babol, Iran;

关键词: brachial vein transposition;    basilic vein transposition;    skip incisions;    dialysis access;    arteriovenous fistula;   

DOI  :  10.5758/vsi.200060

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown