Related Experiment Video

Updated: Aug 18, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
07:30

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

Published on: April 1, 2022

The secondary hemodialysis vascular access created through the basilic vein transition on the forearm

K Janicki1, R Pietura, E Radzikowska

  • 11st Department of Surgery and Transplantology, Medical University of Lublin.

Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina
|April 30, 2002
PubMed

Hemodialysis vascular access related problems account for most hospitalizations in chronic hemodialysis patients. Having exhausted classic, primary radio-cephalic fistula on the forearm the secondary vascular access can be created. The secondary access was achieved through a subcutaneous displacement of the basilic vein and through surgical creation of end-to-end fistula between this venous and radial artery on the forearm. The subject of the study were eight patients undergoing chronic hemodialysis. In all patients the type of anastomosis and early and late complications were studied. The preferred route for exposure of the basilic vein was making the single incision along the forearm. Next, the basilic vein was transferred to the subcutaneous tunnel on the anterior side of the forearm. In four cases the classic end-to end anastomosis between the basilic vein and radial artery was performed. In other four patients, the telescopic method of fistula creation was done. In all eight cases the regular flow was observed. In postoperative period no complications were noted.

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