Use of the dorsal vein of the hand for arteriovenous fistula creation

A radio-cephalic arteriovenous fistula (AVF) in the anatomical snuffbox is the most distal site of AVF in the upper limb. When the cephalic vein distal to the wrist is in poor condition or thrombosed, creating the typical radio-cephalic AVF in the distal forearm just proximal to the wrist will likely be considered. However, we have adopted an operative technique for creating a transposed radial artery-dorsal metacarpal vein AVF (RDAVF) in the anatomical snuffbox when possible in such cases. RDAVF is AVF using the most peripheral autologous vein in the upper limb.

Source: Annals of Vascular Surgery - July 22, 2019 Category: Surgery Authors: Tsuyoshi Takashima, Yasunori Nonaka, Yui Nakashima, Eriko Nonaka, Keiichiro Matsumoto, Makoto Fukuda, Shuichi Rikitake, Motoaki Miyazono, Kazuhisa Rikitake, Yuji Ikeda Tags: Case Report Source Type: research