Abstract
Preoperative ultrasound vessel mapping is a crucial step in operative planning for permanent hemodialysis access creation. Whereas the majority of the focus remains on vein caliber, anatomic arterial variants are often overlooked. Despite being a relatively common variation, little is known about the impact of a high brachial bifurcation on hemodialysis access outcomes. Our goal was to examine the relationship between a high brachial bifurcation and arteriovenous fistula (AVF) maturation and patency in patients undergoing upper arm hemodialysis access placement.
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