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Presentation transcript:

Transposition of the brachial vein: a new source for autologous arteriovenous fistulas Hernan A. Bazan, MD, Harry Schanzer, MD Journal of Vascular Surgery Volume 40, Issue 1, Pages 184-186 (July 2004) DOI: 10.1016/j.jvs.2004.03.044

Fig 1 The brachial vein, a deep upper arm vein running along the course of the brachial artery, has been dissected, all of its tributaries ligated individually with 4-O silk sutures, and distended with heparinized Ringers lactate. Prior to transposition of the brachial vein, it is important to mark the vein with methylene blue along its length in order to avoid twisting, a common cause of outflow obstruction and early graft failure. Journal of Vascular Surgery 2004 40, 184-186DOI: (10.1016/j.jvs.2004.03.044)

Fig 2 Schematic representation of a transposed brachial vein-brachial artery AVF. The brachial vein is transposed subcutaneously through a tunnel lateral to the incision and an anastomosis is done with the distal brachial artery in an end-to-side fashion. Journal of Vascular Surgery 2004 40, 184-186DOI: (10.1016/j.jvs.2004.03.044)