PMC6000773_01
Image of the forearm with the previous site at the distal radial artery (Cimino-Brescia) and proximal radial artery fistula.
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PMC6000773_01_gr1.jpg
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A-V fistula on the left side since she was a right-handed but per operatively we found a very thin radial artery of 2 mm like diameter and we perform the fistula that initially work but later stop vibrating (Fig. 1). Another attempt was done on the same side at the antecubital fossa that also stops working a week later (Fig. 1) (ref).
Brachiocephalic fistula with a retrograde flow in the median cubital vein. The forearm cephalic vein is ligated before the division and a perforating deep vein is also ligated at the antecubital fossa of the elbow.
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PMC6000773_01_gr2.jpg
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We did the Brachio-cephalic fistula with the retrograde flow with a favorable short-term outcome and successful access for hemodialysis (Fig. 2, Fig. 3) the proximal end of the median cubital vein was ligated to have an end to side anastomosis.