Reassessment of forearm basilic arteriovenous fistula

Abstract

It is widely accepted that an autogenous arteriovenous fistula is preferred over arteriovenous grafts and/or central venous catheters for dialysis access. To create an arteriovenous fistula, an adequate vein and artery are required. In many patients who require vascular access, the forearm cephalic vein has been damaged owing to multiple venotomies and/or intravenous catheterizations. Thus, the vein is often scarred or occluded, negating the first-line radiocephalic fistula. The forearm basilic vein lies in a medial position, making it more difficult to access for venipuncture or placement of intravenous lines.