Staged brachioradial artery to brachioradial vein arteriovenous fistula creation for hemodialysis access in three patients with a high origin of the radial artery

• Main Authors: Zachary Lawrence, BA, Sitaram V. Chivukula, MD, Erin C. Farlow, MD, Richard R. Keen, MD, Neha Sheng, MD
• Format: Article
• Language: English
• Published: Elsevier 2021-06-01
• Series: Journal of Vascular Surgery Cases and Innovative Techniques
• Subjects: Arteriovenous fistula; AV access; Hemodialysis access; Proximal radial artery; Radial vein; Vascular surgery
• Online Access: http://www.sciencedirect.com/science/article/pii/S2468428721000125
• ISSN: 2468-4287

When patients lack suitable superficial veins in the upper extremity to create an arteriovenous fistula, surgeons are faced with a decision between a synthetic graft or autologous fistula using deep veins, such as a brachial artery to brachial vein arteriovenous fistula. In patients with a high radial artery origin (or brachioradial artery) and inadequate superficial veins, arteriovenous fistula creation will be even more challenging. In the present report, we describe a technique used in three such patients who underwent successful staged brachioradial artery to brachioradial vein arteriovenous fistula creation.