Upper limb vein anatomy before hemodialysis fistula creation: cross-sectional anatomy using MR venography.
Preoperative imaging is indicated to discriminate patent, adequate superficial veins of the upper limbs undetectable by clinical inspection that could be anastomosed for the creation of a durable and functional hemodialysis fistula. The aim of this pictorial review is to provide a venous anatomic map of the upper limbs using MR venography (MRV) which could help surgeons before creation of hemodialysis access fistulas (AVF). At the level of the forearm, the antebrachial cephalic vein is the most commonly identified as patent. At the level of the elbow and distal arm, the cephalic vein is patent in 80% of normal subjects, and less often patent (23-26%) than basilic vein (33-38%) in patients. Overall, reading transaxial MR views can help for assessing upper limb vein anatomy before creation of a hemodialysis access fistula.
Laissy
Jean-Pierre
JP
Department of Radiology, Hôpital Bichat, 46 rue Henri Huchard, 75877 Paris Cedex 18, France. jean-pierre.laissy@bch.ap-hop-paris.fr
Fernandez
Pedro
P
Karila-Cohen
Pascale
P
Delmas
Vincent
V
Dupuy
Emmanuel
E
Chillon
Sylvie
S
Mignon
Françoise
F
Schouman-Claeys
Elisabeth
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D001132:Arm / Q000098:blood supply*; D001166:Arteriovenous Shunt, Surgical; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011379:Prognosis; D006435:Renal Dialysis; D014654:Vascular Patency / Q000502:physiology; D014680:Veins / Q000033:anatomy & histology