Use of the Dorsal Vein of the Hand for Arteriovenous Fistula Creation

Takashima, Tsuyoshi; Nonaka, Yasunori; Nakashima, Yui; Nonaka, Eriko; Matsumoto, Keiichiro; Fukuda, Makoto; Rikitake, Shuichi; Miyazono, Motoaki; Rikitake, Kazuhisa; Ikeda, Yûji

doi:10.1016/j.avsg.2019.04.033

Cited by 4 publications

(3 citation statements)

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“…We explained in detail the arterial and venous anatomy of the hand in our past articles. [8][9][10] In addition to those details, the dorsal digital veins from the ulnar side of the middle finger and from the radial side of the ring finger generally coalesce to form the TDMV in the third interdigital space of the dorsum of hand. Figure 3 shows a schematic illustration of the superficial veins of the dorsal hand.…”

Section: Discussionmentioning

confidence: 99%

Utilization of the autologous vein on the ulnar side of the dorsal hand for arteriovenous fistula creation

et al. 2021

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We previously described the success and usefulness of two operative techniques for creating a radial artery-first or second dorsal metacarpal vein arteriovenous fistula (AVF) in the first interdigital space of the dorsal hand using the most distal site and autologous veins in the upper limb. These techniques utilize the dorsal metacarpal veins on the radial side of the dorsal hand. Developing these ideas, we devised a novel operative technique for creating a transposed radial artery-third metacarpal vein AVF in the first interdigital space of the dorsal hand using the most distal vein on the ulnar side of the upper limb and most distal site in the upper limb. The distinctive advantage of this technique is that it can be applied to patients whose cephalic vein in the forearm and the dorsal metacarpal veins on the radial side of the dorsal hand are of a poor quality. We herein report the steps of this technique and describe its successful performance in a patient who has been on hemodialysis for 14 months without any additional vascular access interventions or postoperative complications. We consider this technique to be a valuable option in select patients who meet the applicable conditions. The creation of the first AVF as distally as possible is ideal, and it offers a further viable option of distal native vascular access that may be overlooked.

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Section: Discussionmentioning

confidence: 99%

Utilization of the autologous vein on the ulnar side of the dorsal hand for arteriovenous fistula creation

et al. 2021

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“…We detailedly described the venous anatomy of the superficial veins of the dorsal aspect of the hand in our previous report. 7 In addition, the dorsal digital veins from the radial side of the index finger and from the ulnar side of the thumb coalesce to form the FDMV in the FIS of the dorsal hand. The FDMV is also called the cephalic vein of the thumb (vena cephalica pollicis).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, we previously reported an operative technique for creating a transposed radial artery-second dorsal metacarpal vein AVF in the anatomical snuffbox using the most peripheral autologous vein in the upper extremity. 7 Meanwhile, in cases in which the internal diameter of the first dorsal metacarpal vein (FDMV) under avascularization is ⩾2.0 mm, we have (whenever possible) adopted a new operative technique for creating a radial artery-first dorsal metacarpal vein arteriovenous fistula (RFDAVF) in the first interdigital space (FIS) of the dorsal hand, which Radial artery-first dorsal metacarpal vein arteriovenous fistula in the first interdigital space of the dorsal hand for hemodialysis lies between the thumb and the index finger and which is the most distal site for an AVF in the upper limb.…”

Section: Introductionmentioning

confidence: 99%

Radial artery-first dorsal metacarpal vein arteriovenous fistula in the first interdigital space of the dorsal hand for hemodialysis

et al. 2019

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A radiocephalic arteriovenous fistula in the anatomical snuffbox (tabatière region) was first described in 1969 as the most peripheral site for arteriovenous fistula in the upper limb. In cases in which the internal diameter of the first dorsal metacarpal vein under avascularization is ⩾2.0 mm, we have adopted a new operative technique for creating a radial artery-first dorsal metacarpal vein arteriovenous fistula in the first interdigital space of the dorsal hand, which lies between the thumb and the index finger. This technique is the creation of the arteriovenous fistula using the first dorsal metacarpal vein and the most peripheral site in the upper limb. To our knowledge, no previous report has described the creation of a radial artery-first dorsal metacarpal vein arteriovenous fistula. We herein describe the steps of the technique and report its successful performance in a patient with chronic renal failure.

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