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Axial splitting of the medial antebrachial cutaneous nerve facilitates second-stage elevation of basilic or brachial vein in patients with arteriovenous.

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Presentation on theme: "Axial splitting of the medial antebrachial cutaneous nerve facilitates second-stage elevation of basilic or brachial vein in patients with arteriovenous."— Presentation transcript:

1 Axial splitting of the medial antebrachial cutaneous nerve facilitates second-stage elevation of basilic or brachial vein in patients with arteriovenous fistula  Stanislaw Przywara, MD, PhD, Marek Ilzecki, MD, PhD, Piotr Terlecki, MD, PhD, Tomasz Zubilewicz, MD, PhD  Journal of Vascular Surgery  Volume 62, Issue 5, Pages (November 2015) DOI: /j.jvs Copyright © 2015 Society for Vascular Surgery Terms and Conditions

2 Fig 1 During the first stage, the basilic or brachial vein is anastomosed with the brachial artery in end-to-side fashion. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

3 Fig 2 During the second stage, matured basilic or brachial vein is exposed, and the median cutaneous nerve of the forearm is identified. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Cutaneous branches of the median cutaneous nerve of the forearm are split and retracted laterally and medially. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

5 Fig 4 The basilic or brachial vein is then elevated between the separated nerves. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Closure of the fascia underneath the elevated vein (above the retracted-aside nerves) and secure placement of the vein in subcutaneous tissue complete the surgery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

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