In patients unsuitable for radiocephalic fistula creation, the next option is brachiocephalic fistula. In such patients, we exploited the venous interconnections in the cubital fossa for median cubital vein-Brachiocephalic arteriovenous fistula (AVF) creation. In this article, we describe our experience in the creation of such technical variant of the brachiocephalic fistula AVF, its success an...

UNLABELLED Vascular access in haemodialysis is still accompanied by a high morbidity rate. Neointimal hyperplasia due to thrombosis is one of the main causes of vascular access failure. The purpose of this paper is to present the use of non-penetrating titanium clips (VCS) for the creation of an arteriovenous fistula and its outcome. MATERIALS AND METHODS A male patient, 47 years old, with en...

A 63-year-old man presented to the emergency department after an episode of transient left hemiparesis and hemianaesthesia. His only history of allergy was an episode of mild urticaria after a postsurgical fentanyl infusion a few years previously. An intravenous cannula was inserted in his left cubital fossa. His neurological symptoms had resolved completely by the time he was reviewed by the n...

INTRODUCTION Superficial palmar arch (SPA) is dominant vascular structure in palm of hand. In present study we described a case of Ulnar / Radiopalmar pattern of incomplete SPA in an Iranian cadaver. When the SPA is complete, the superficial palmer branches of the radial artery contribute to the ulnar artery. In incomplete type of SPA, there was no anastomosis between the ulnar and radial arter...

Introduction Variations of the arterial patterns in the upper limb have been the subject of many anatomical studies due to their high incidence. Brachial artery is the main artery of the arm. It is a continuation of axillary artery at the lower border of teres major muscle. It usually terminates at the level of neck of radius in the cubital fossa by dividing into radial and ulnar arteries. The ...

The median nerve is usually formed just lateral to the third part of the axillary artery by the union of its medial and lateral roots coming from medial and lateral cords of the brachial plexus respectively. It then descends down in the front of the arm and crosses superficial to the brachial artery from lateral to medial side. It enters the cubital fossa along with the brachial artery. Normall...

Introduction Pronator teres usually originates as two heads, the superficial humeral head from medial epicondyle and the deep ulnar head from the coronoid process. The median nerve passes between the two heads, and the ulnar artery passes deep to the deep head of the pronator teres in the cubital fossa. Flexor carpi radialis, another superficial flexor of the forearm arises from common flexor o...