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Hernan A. Bazan, MD, Harry Schanzer, MD  Journal of Vascular Surgery 

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Presentation on theme: "Hernan A. Bazan, MD, Harry Schanzer, MD  Journal of Vascular Surgery "— Presentation transcript:

1 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 (July 2004) DOI: /j.jvs

2 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  , DOI: ( /j.jvs )

3 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  , DOI: ( /j.jvs )

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