Distal revascularization and interval ligation procedure for radial-basilic forearm transposition arteriovenous fistula  Babatunde H. Almaroof, MD, Jonathan.

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Distal revascularization and interval ligation procedure for radial-basilic forearm transposition arteriovenous fistula  Babatunde H. Almaroof, MD, Jonathan A. Higgins, MD, Sadaf S. Ahanchi, MD, Jean M. Panneton, MD, Todd W. Gensler, MD  Journal of Vascular Surgery  Volume 58, Issue 6, Pages 1661-1664 (December 2013) DOI: 10.1016/j.jvs.2013.01.031 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Left upper extremity angiogram with fistula open shows patent radial-basilic fistula anastomosis with absence of palmar arch due to steal syndrome. B, Left upper extremity angiogram with fistula compressed shows patent radial-basilic fistula anastomosis with presence of palmar arch. Journal of Vascular Surgery 2013 58, 1661-1664DOI: (10.1016/j.jvs.2013.01.031) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Schematic representation of distal revascularization and interval ligation (DRIL) procedure performed in patient with radial-basilic forearm arteriovenous fistula. GSV, Great saphenous vein. Journal of Vascular Surgery 2013 58, 1661-1664DOI: (10.1016/j.jvs.2013.01.031) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Left upper extremity angiogram following distal revascularization and interval ligation (DRIL) procedure with arrow showing stenosis of proximal anastomosis. B, Left upper extremity angiogram following DRIL procedure showing resolution of proximal anastomotic stenosis after angioplasty. C, Left upper extremity angiogram following DRIL procedure with arrow showing widely patent distal anastomosis of DRIL bypass. D, Left upper extremity angiogram following DRIL procedure showing left hand perfusion with patent digital vessel to amputated third finger. Journal of Vascular Surgery 2013 58, 1661-1664DOI: (10.1016/j.jvs.2013.01.031) Copyright © 2013 Society for Vascular Surgery Terms and Conditions