Abstract

Abstract Arteriovenous fistula is the most commonly used vascular access in patients on maintenance hemodialysis. Operating surgeon has to be aware about the normal anatomy of vessels as well as variations in the course of the vessels. Here wereport a case of radiocephalic arteriovenous fistula constructed in aberrant radial artery. This is the first case of arteriovenous fistula with aberrant radial artery to be reported in world literature.

Highlights

  • A working arteriovenous fistula (AVF) with adequate blood flow is practically a lifeline for a chronic kidney disease (CKD) patient on maintenance hemodialysis (MHD)

  • A 75 year male, known case of diabetes mellitus type 2 and hypertensionwas recently detected to have chronic kidney disease requiring hemodialysis. He was considered for arteriovenous fistula (AVF) as a long term vascular access

  • The encountered vessel coursed abnormally superficial to the tendons of the extensor pollicus brevis (EPB), abductor pollicus longus (APL) and extensor pollicus longus (EPL) lying lateral to the cephalic vein as it passed through the anatomical snuffbox

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Summary

Introduction

A working arteriovenous fistula (AVF) with adequate blood flow is practically a lifeline for a chronic kidney disease (CKD) patient on maintenance hemodialysis (MHD). Nephron Kidney Care, United Ciigma Hospital, Shahanurwadi, Darga Road, AURANGABAD, State : Maharashtra, 431005, INDIA, Telephone : +91-240-6676709, E-mail :dr_sachinsoni@yahoo.com Keywords: arteriovenous fistula, aberrant radial artery Received : Jul 17, 2016; Accepted : Oct 03, 2016; Published : Oct 12, 2016; www.openaccesspub.org | JNA Planning of a successful AVF involves careful examination of suitable vessels by clinical examination and Doppler ultrasound.

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