Abstract
Brescia and Cimino et al. first described the creation of an arteriovenous fistula for hemodialysis access in 1966 [1]. Fifty years later, the National Kidney Foundation Dialysis Outcomes Quality Initiative (KDOQI) Guidelines continue to support radiocephalic arteriovenous fistula as the preferred initial vascular access [2]. Preference for a radiocephalic fistula is followed by brachiocephalic fistula, transposed brachiobasilic fistula, and lastly arteriovenous synthetic graft [2]. The overarching principal is to begin as distal as feasible and move proximally for future access procedures. The first description of a transposed upper arm brachiobasilic fistula was by Dagher et al. in 1976 [3]. Forearm cephalic or basilic vein transposition has also been described but is less commonly employed. If a forearm basilic or cephalic vein is of adequate size but anatomical constraints preclude a Cimino-type fistula, these distal transposition procedures allow for additional options. While more involved than a Cimino-type fistula, these forearm fistula options preserve upper arm veins for future procedures and may provide reliable dialysis access.
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References
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Worsham, J.L., Cheng, C.C., Cheema, Z.F., Fankhauser, G.T., Silva, M.B. (2017). Forearm Vein Transposition. In: Shalhub, S., Dua, A., Shin, S. (eds) Hemodialysis Access. Springer, Cham. https://doi.org/10.1007/978-3-319-40061-7_16
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DOI: https://doi.org/10.1007/978-3-319-40061-7_16
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