Primary brachial vein transposition for hemodialysis access: Report of a case and review of the literature

Abstract

The superiority of autogenous fistulae in patients with end-stage renal disease, performing hemodialysis, is well established and largely accepted. However, in case that superficial veins in the upper arm are not available for fistula construction, brachial vein transposition may be a viable alternative prior to graft placement. This transposition could be done as a primary or staged procedure, depending on the vein size. We present the case of a 63-year-old male patient with a thrombosed arteriovenous graft in the forearm and a large brachial vein in the ipsilateral upper arm. A one-stage (primary) brachial vein transposition was performed. The fistula, 10 months after its construction, is still patent. No complications have occurred.

Tumoral calcinosis in the cervical spine: a case report and review of the literature

“…Medical therapy is also used for TC patients, especially for UTC patients using aggressive phosphate binders, calcimimetics, using low-calcium dialysate solutions, and increased length and frequency of hemodialysis treatments [ 28 ]. Fatehi et al [ 8 ] reported a case that keeping on hemodialysis improved the symptoms and reduced the mass of the lesion.…”

A comparison of brachial artery-brachial vein arteriovenous fistulas with arteriovenous grafts in patients with poor superficial venous anatomy

“…Since that first described experience of a brachial artery-brachial vein arteriovenous fistula (BVAVF), a number of studies have demonstrated varied results for its rates of patency and complications. [11][12][13][14][15][16][17][18] Few studies have compared the BVAVF directly with the AVG.…”