Superficialization of the wrist native arteriovenous fistula for effective hemodialysis vascular access construction.
BACKGROUND
It is commonly known that the best type of vascular access for chronic hemodialysis, defined as the one with the lowest number of complications and longest use, is the primary (Brescia-Cimino) radiocephalic fistula. One reason for the impossibility of its creation is that the vein vessel on the forearm is located too deeply, which is primarily caused by the patients' obesity.


METHODS
In 24 obese patients the superficialization procedure of the venous part of fistula under the skin was performed.


RESULTS
In 23 patients of this group, an easy and uncomplicated fistula puncturing was achieved. One patient had the complication of fistula clotting.


CONCLUSIONS
Subcutaneous transposition of the arterialized median antebrachial vein is a simple and effective method of an adequate distal native fistula creation in patients with deeply located forearm veins.
Weyde
Wacław
W
Department of Nephrology and Transplantation Medicine, Wrocław Medical University, Traugutta 57/59, 50-417 Wrocław, Poland. klinef@poczta.onet.pl
Krajewska
Magdalena
M
Letachowicz
Waldemar
W
Klinger
Marian
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D001808:Blood Vessels / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012039:Regional Blood Flow; D006435:Renal Dialysis; D018615:Ultrasonography, Doppler, Color; D014953:Wrist / Q000098:blood supply*