title: Radio-cephalic fistula recovered with drainage to forearm basilic vein.
abstract: Dysfunction problems with vascular access are a concern to patients and dialysis units. The vascular surgeon should analyse such dysfunction and perform a careful assessment of the vascular network in order to find new fistula layouts. We introduce and discuss the case of creation of a radio-cephalic fistula with outflow into the forearm basilic vein through rotation of the forearm basilic vein toward the cephalic vein in the forearm of an 88-year-old hemodialysis male patient. This technique enables extending fistula patency and improves cost efficiency.
authors.affiliation: Vascular Access Center (Grupo Estudos Vasculares-GEV), Porto, Portugal.|Angiology and Vascular Surgery Departament, Centro Hospitalar do Porto, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Norton de Matos
authors.affiliation: Vascular Access Center (Grupo Estudos Vasculares-GEV), Porto, Portugal.|Nursing School of Porto, Porto, Portugal.|CINTESIS - Center for Health Technology and Services Research Faculty of Medicine, Porto University.
authors.forename: Clemente Neves
authors.initials: CN
authors.lastname: Sousa
authors.affiliation: Vascular Access Center (Grupo Estudos Vasculares-GEV), Porto, Portugal.|Angiology and Vascular Surgery Departament, Centro Hospitalar do Porto, Portugal.
authors.forename: Paulo
authors.initials: P
authors.lastname: Almeida
authors.affiliation: School of Economics and LIAAD-INESC Porto LA, Porto University, Porto, Portugal.
authors.forename: Paulo
authors.initials: P
authors.lastname: Teles
authors.affiliation: Vascular Access Center (Grupo Estudos Vasculares-GEV), Porto, Portugal.|Angiology and Vascular Surgery Departament, Centro Hospitalar do Porto, Portugal.
authors.forename: Luís
authors.initials: L
authors.lastname: Loureiro
authors.affiliation: Vascular Access Center (Grupo Estudos Vasculares-GEV), Porto, Portugal.|Angiology and Vascular Surgery Departament, Centro Hospitalar do Porto, Portugal.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Teixeira
authors.affiliation: Vascular Access Center (Grupo Estudos Vasculares-GEV), Porto, Portugal.|Angiology and Vascular Surgery Departament, Centro Hospitalar do Porto, Portugal.
authors.forename: Duarte
authors.initials: D
authors.lastname: Rego
authors.affiliation: Vascular Access Center (Grupo Estudos Vasculares-GEV), Porto, Portugal.|Angiology and Vascular Surgery Departament, Centro Hospitalar do Porto, Portugal.
authors.forename: Sérgio
authors.initials: S
authors.lastname: Teixeira
mesh_terms: D000369:Aged, 80 and over; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D005402:Fistula / Q000601:surgery*; D005542:Forearm / Q000098:blood supply*; D006801:Humans; D008297:Male; D017534:Radial Artery / Q000601:surgery*; D006435:Renal Dialysis / Q000379:methods*; D014654:Vascular Patency; D014680:Veins / Q000601:surgery*
keywords: Vascular access; arteriovenous fistula; forearm basilic vein; hemodialysis