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 Limb ischaemia caused by formation of dialysis fistula is rare but serious complication. The severity of symptoms may vary but rest pains and necrotic lesions are observed in most advance cases. In these patients different invasive procedures for treatment are performed - from simplest dialysis fistula ligation to complicated vascular reconstructions. The aim of the study was to eval...

OBJECTIVE This study explored the long-term outcomes of arteriovenous fistulas treated with vonapanitase (recombinant human elastase) at the time of surgical creation. METHODS This was a randomized, double-blind, placebo-controlled trial of 151 patients undergoing radiocephalic or brachiocephalic arteriovenous fistula creation who were randomized equally to placebo, vonapanitase 10 μg, or von...

Patients with end stage renal disease require some form of vascular access for treatment, Arterio-Venous Fistulas (avf) being the preferred available due to better patency rates. However, they continue present complications after creation, leading early or late failure. While many studies are examining flow in patient-specific fistulas, often neglect influence vessel compliance on its hemodynam...

A 27-year-old female patient was referred due to an edematous left lower extremity. Both saphenous veins had been ablated with an endovenous laser procedure used to treat varicose veins. Venography revealed that the left common femoral vein had been divided and that thrombosis was present at the site of division. No veins were available around the thighs. The patient was treated using a staged ...

Demographic data and underlying diseases had been recorded (Table 1). All patients were being treated with 5 mg folic acid while no patient received ASA or warfarin [1]. A fasting pre hemodialytic blood sample was obtained from all patients and plasma total homocysteine (tHcy) level was determined by means of Immunoturbidimetry Based on conversion NADH+ to NAD. According to the history of venou...

Cutaneous squamous cell carcinoma (CSCC) overlying an arteriovenous fistula (AVF) is rare and presents unique challenges. This case report describes a method of preservation after CSCC excision using flow-through venous free flap. The saphenous vein the flap was used as segment for AVF preservation. inserted along dorsal aspect forearm wound microvascular anastomosis arterial inflow completed j...

Flows (Qa) of arteriovenous fistula (AVF) impact the dialysis adequacy in hemodialysis (HD) patients. However, data for different access flow levels on outcomes related to long-term dialysis patients, especially in Chinese patients, are limited. Herein, we performed an ambispective, mono-centric cohort study investigating the association between the AVF flows and inflammation, cardiovascular ev...

A 74-year-old man with hypertension and peripheral vasculopathy historywas admitted to our hospital to start renal substitutive treatment with haemodialysis through a functioning right humeral-cephalic arteriovenous fistula. In the first week after starting haemodialysis, the patient presented signs of distal ischaemia in the second and third fingers. A fistulography confirmed distal steal by a...

BACKGROUND The depth of veins can discourage surgeons from creating radial-cephalic arteriovenous accesses for hemodialysis in obese patients. Elevation and tunneled transposition are the two techniques that have been described to superficialize these veins and make them accessible for cannulation. Unfortunately, such manipulation of veins has potential drawbacks. We report lipectomy, a new tec...