Patient has a radiocephalic fistula in his right forearm right elbow blood flow anastomosis.

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Presentation transcript:

Patient has a radiocephalic fistula in his right forearm right elbow blood flow anastomosis

Severe, diffuse narrowing of cephalic vein right wrist radial artery cephalic vein

Cephalic vein is occluded at level of right elbow Venous outflow pathway is through upper right basilic vein occlusion basilic vein elbow joint blood flow

right elbow basilic vein The basilic vein looks good in the right upper arm cephalic vein occlusion

The basilic vein looks good in the right upper arm September 2

Right central veins are okay September 2

October 6 new hemodialysis graft connected to poor quality cephalic vein venous anastomosis cephalic vein

Severe stenosis of entire right cephalic vein right elbow October 6

Severe stenosis of upper right cephalic vein October 6