title: The construction of arteriovenous fistula for hemodialysis in patients with chronic obstructive arterial disease in the upper limb.
abstract: OBJECTIVE
  Describe the construction of arteriovenous fistula for hemodialysis in chronic renal patient on hemodialysis who presented chronic arterial obstruction in the upper limb.
  
  
  METHODS
  A surgical procedure was performed on a patient with obstruction of the brachial artery in its proximal third. The procedure was carried out by the construction of a bypass with autologous vein between the proximal brachial and distal brachial arteries and the performing of an arteriovenous fistula with superficialized and anteriorized basilic vein, with anastomosis in the bypass at the same surgical procedure.
  
  
  RESULTS
  There was good immediate result and arteriovenous fistula presented function for 43 months.
  
  
  CONCLUSIONS
  Even when faced with chronic obstructive arterial disease in the arm, there is the possibility of creating a new arteriovenous fistula for hemodialysis.
authors.affiliation: Department of Surgery at the Faculty of Medical and Health Sciences, Pontifícia Universidade Católica de São Paulo, Sorocaba, São Paulo - Brazil.
authors.forename: Fábio
authors.initials: F
authors.lastname: Linardi
authors.affiliation: Department of Surgery at the Faculty of Medical and Health Sciences, Pontifícia Universidade Católica de São Paulo, Sorocaba, São Paulo - Brazil.
authors.forename: Jose A
authors.initials: JA
authors.lastname: Costa
authors.affiliation: Department of Surgery at the Faculty of Medical and Health Sciences, Pontifícia Universidade Católica de São Paulo, Sorocaba, São Paulo - Brazil.
authors.forename: Fernanda R
authors.initials: FR
authors.lastname: Angelieri
authors.affiliation: Hemodialysis Institute of Sorocaba, Sorocaba, São Paulo - Brazil.
authors.forename: Maria G
authors.initials: MG
authors.lastname: Marabezzi
authors.affiliation: Hemodialysis Institute of Sorocaba, Sorocaba, São Paulo - Brazil.
authors.forename: Jose L
authors.initials: JL
authors.lastname: Bevilacqua
mesh_terms: D000792:Angiography; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002908:Chronic Disease; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D006435:Renal Dialysis; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*; D014654:Vascular Patency; D014680:Veins / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*