open access

Vol 13, No 2 (2011)
Aktualności
Published online: 2012-04-27
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The importance of the superficial brachioulnar artery during surgical creation of an arteriovenous fistula for dialysis from a transposed basilic vein — potential implications for hand ischemia in case of a previously thrombosed radiocephalic arteriovenous fistula.

Sławomir Frunze, Tadeusz Grochowiecki, Tomasz Ciąćka, Bogdan Ciszek
Chirurgia Polska 2011;13(2):166-170.

open access

Vol 13, No 2 (2011)
Aktualności
Published online: 2012-04-27

Abstract

During the surgical creation of an arteriovenous (AV) fistula from a transposed basilic vein, an aberrant artery, closely related to the course of the basilic vein, was found. A postoperative CTA, together with a Doppler sonography study, identified this artery as a superficial brachioulnar artery. The artery singularly supplied the palmar arch, as the radial artery was occluded due to thrombosis of a previously performed radio-cephalic fistula. Moreover, the unintended ligation of the superficial brachioulnar artery during preparation of the basilic vein, stopped blood flow to the palmar arch and, consequently, caused hand ischemia.

Abstract

During the surgical creation of an arteriovenous (AV) fistula from a transposed basilic vein, an aberrant artery, closely related to the course of the basilic vein, was found. A postoperative CTA, together with a Doppler sonography study, identified this artery as a superficial brachioulnar artery. The artery singularly supplied the palmar arch, as the radial artery was occluded due to thrombosis of a previously performed radio-cephalic fistula. Moreover, the unintended ligation of the superficial brachioulnar artery during preparation of the basilic vein, stopped blood flow to the palmar arch and, consequently, caused hand ischemia.
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Keywords

upper limb; artery anatomical abnormality; vascular access for hemodialysis

About this article
Title

The importance of the superficial brachioulnar artery during surgical creation of an arteriovenous fistula for dialysis from a transposed basilic vein — potential implications for hand ischemia in case of a previously thrombosed radiocephalic arteriovenous fistula.

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 13, No 2 (2011)

Pages

166-170

Published online

2012-04-27

Bibliographic record

Chirurgia Polska 2011;13(2):166-170.

Keywords

upper limb
artery anatomical abnormality
vascular access for hemodialysis

Authors

Sławomir Frunze
Tadeusz Grochowiecki
Tomasz Ciąćka
Bogdan Ciszek

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