title: Brachial-cephalic fistula recovered with drainage for the basilic vein: Case report.
abstract: Vascular access is essential for the implementation of hemodialysis (HD). The arteriovenous fistula (AVF) can be constructed in various locations using various veins. However, the quality of the veins will influence the construction site, as well as the functioning of the AVF. Careful analysis of the vascular network allows options for the development of new fistulas presentations. We present and discuss the case of a woman aged 69 years in HD in which a brachial-cephalic fistula with drainage to basilic vein was created, through rotation of the cephalic vein on the forearm level. This kind of access serves to prolong the time spent dialyzing through native fistulae, with their reduced complications and greater cost-effectiveness.
authors.affiliation: Centro de Hemodiálise da Ordem S. Francisco, Porto, Portugal.|Escola Superior Enfermagem Porto (Nursing College Porto), Porto, Portugal.
authors.forename: Clemente Neves
authors.initials: CN
authors.lastname: Sousa
authors.affiliation: Vascular Access Center (Grupo Estudos Vasculares-GEV), Porto, Portugal.|Centro Hospitalar do Porto, Porto, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Norton de Matos
authors.affiliation: Centro de Hemodiálise da Ordem S. Francisco, Porto, Portugal.
authors.forename: Ana
authors.initials: A
authors.lastname: Rocha
authors.affiliation: Vascular Access Center (Grupo Estudos Vasculares-GEV), Porto, Portugal.|Centro Hospitalar do Porto, Porto, Portugal.
authors.forename: Paulo
authors.initials: P
authors.lastname: Almeida
authors.affiliation: Centro de Hemodiálise da Ordem S. Francisco, Porto, Portugal.
authors.forename: Eva
authors.initials: E
authors.lastname: Xavier
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000209:etiology*; D001166:Arteriovenous Shunt, Surgical; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D006435:Renal Dialysis; D062666:Vascular Access Devices / Q000706:statistics & numerical data*; D014680:Veins
keywords: Vascular access; arteriovenous fistula; basilic vein; cephalic vein