Brachial Artery-To-Brachial Vein Arterio-Venous Fistula in a Pediatric Patient

2009 ◽  
Vol 1 (1) ◽  
pp. 8-10
Author(s):  
Nosrahtollah Nezakatgoo ◽  
John T. Sanders ◽  
Deborah P. Jones
Keyword(s):  
Pediatric Patient ◽  
Brachial Artery ◽  
Brachial Vein ◽  
Venous Fistula

Brachio-brachial arteriovenous fistula combined with superficialization of the brachial artery using a short skin incision for hemodialysis

2020 ◽  
pp. 112972982094408
Author(s):  
Tsuyoshi Takashima ◽  
Yui Nakashima ◽  
Atsuhiko Suenaga ◽  
Yuki Yamashita ◽  
Yasunori Nonaka ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Vascular Access ◽  
Brachial Artery ◽  
English Literature ◽  
Invasive Procedure ◽  
Skin Incision ◽  
Related Data ◽  
One Stage ◽  
Long Time ◽  
Brachial Vein

A brachio-brachial arteriovenous fistula with superficialization of the brachial vein and superficialization of the brachial artery are useful vascular access techniques for hemodialysis patients. However, both typically require a long skin incision from the antecubital fossa toward the axillary fossa. In addition, the brachio-brachial arteriovenous fistula in particular, which is created with not a one-stage but a two-stage procedure, requires a relatively long time of 2–3 months before it can be used for hemodialysis. Furthermore, superficialization of the brachial artery usually requires nonarterialized superficial veins for blood return. In cases where patients have no adequate superficial veins for creating an arteriovenous fistula, we have adopted a one-stage operative technique to create a brachio-brachial arteriovenous fistula with superficialization of not only the brachial vein but also the brachial artery using a short skin incision. This technique of a brachio-brachial arteriovenous fistula with superficialization of the brachial artery has several advantages over traditional approaches, including a minimally invasive procedure and early use for vascular access. To our knowledge, the presently described technique and the related data have not been previously reported in the English literature. We herein report the steps of this technique and the midterm follow-up outcomes.

scholarly journals A Comparison of Brachial Artery-Brachial Vein Arteriovenous Fistulas With AV Grafts in Patients With Poor Superficial Venous Anatomy

2015 ◽  
Vol 62 (2) ◽  
pp. 535
Author(s):  
Jerry J. Kim ◽  
Ezinne J. Ihenachor ◽  
Aaron B. Parrish ◽  
Jenny D. Bleck ◽  
Matthew C. Koopmann ◽  
...  
Keyword(s):  
Brachial Artery ◽  
Venous Anatomy ◽  
Arteriovenous Fistulas ◽  
Brachial Vein

scholarly journals The forearm arteriovenous graft between the brachial artery and the brachial vein as a reliable dialysis vascular access for patients with inadequate superficial veins

2019 ◽  
Vol 70 (1) ◽  
pp. 199-207.e4
Author(s):  
Giordano Fumagalli ◽  
Fabio Trovato ◽  
Massimiliano Migliori ◽  
Vincenzo Panichi ◽  
Stefano De Pietro
Keyword(s):  
Vascular Access ◽  
Brachial Artery ◽  
Arteriovenous Graft ◽  
Brachial Vein

scholarly journals Peripheral vascular access from the arms for invasive cardiac investigation using ultrasound guidance

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
S Kadiwar ◽  
J Griffiths ◽  
S Ailoaei ◽  
B Barton ◽  
N Samchkuashvili ◽  
...  
Keyword(s):  
Vascular Access ◽  
Brachial Artery ◽  
Complication Rates ◽  
Basilic Vein ◽  
Portable Ultrasound ◽  
Coronary Interventions ◽  
Increased Risk ◽  
Brachial Vein ◽  
Sheath Insertion ◽  
The Right

Abstract Introduction Vascular access for invasive cardiac investigations has traditionally been gained from the femoral vessels, however, a “radial-first” approach has become increasingly popular for coronary interventions [1]. Transradial access has shown lower complication rates, shorter admission times, and reduced healthcare costs for coronary interventions [4]. A “superior” approach via the jugular and subclavian veins have been reported for electrophysiology (EP) studies and radiofrequency catheter ablation (RFCA) but is associated with an increased risk of complications such as pneumo- and haemothorax [9]. Purpose EP procedures often require the use of both venous and arterial catheters, and the potential advantage of non-femoral peripheral access is yet to be investigated. This study was performed to provide comprehensive anatomical evidence that the vessels of the arms are suitable for use during EP procedures, as assessed by vascular ultrasound. Methods A portable ultrasound device was used to measure the diameter of the brachial artery, brachial vein, basilic vein & cephalic vein on the left and right upper limbs of 63 healthy adult volunteers. Measurements were also taken of the circumference at the elbow and at the mid-bicep level on both arms. A subgroup of 15 volunteers had additional measurements taken of the same veins and artery on both arms with a tourniquet at the upper bicep level. Results The basilic vein was found to have the largest diameter with a median of 4.6 mm and 4.5 mm (right and left diameter, respectively), followed by the cephalic (median of 3.1 and 3.0 mm) and the brachial vein (median of 2.8 mm for both arms). 100% of volunteers had at least one vein that was equal to a 3 mm diameter (which would allow for a 8F sheath insertion), with 98% having 2 suitable veins and >80% having 3 suitable venous vessels. More than 90% had a suitable diameter of more than 3 mm for both the right and left brachial artery. There was significant correlation between gender, and basilic vein and brachial artery diameters. There was no correlation between BMI, height, weight and elbow or bicep circumference. Conclusion To our knowledge, this is the first study to investigate the feasibility of adopting peripheral access in the electrophysiology lab. 100% of volunteers examined had one vein which was at least 3mm in size and would be suitable for 8F sheath insertion. We demonstrate the anatomic evidence that the vessels in the arm are capable of housing the size of sheath and catheters commonly used in the EP lab. FUNDunding Acknowledgement Type of funding sources: None. Figure 2. measurements Figure 3. Vessel diameters

scholarly journals AVA 3. Efficacy of Staged Brachial Artery-Basilic/Brachial Vein Elevation Arteriovenous Fistula (Axillary Vein Saved)

2018 ◽  
Vol 68 (5) ◽  
pp. e125
Author(s):  
Min-seob Kim ◽  
Sanghyun Ahn ◽  
Hyejin Mo ◽  
Ahram Han ◽  
Chanjoong Choi ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Brachial Artery ◽  
Axillary Vein ◽  
Brachial Vein
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