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Related Concept Videos

Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
Sites for measuring blood pressure01:21

Sites for measuring blood pressure

Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Assessment of blood pressure in brachial artery(one-step method)01:15

Assessment of blood pressure in brachial artery(one-step method)

This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Veins of Upper Limbs01:17

Veins of Upper Limbs

The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...

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Related Experiment Video

Updated: May 29, 2026

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
08:11

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation

Published on: June 13, 2025

Brachial-basilic autogenous access.

Tze-Woei Tan1, Alik Farber

  • 1Section of Vascular and Endovascular Surgery, Boston University Medical Center, Boston, MA 02119-2393, USA.

Seminars in Vascular Surgery
|September 6, 2011
PubMed
Summary
This summary is machine-generated.

The brachial-basilic autogenous arteriovenous access is recommended for hemodialysis when the cephalic vein is unsuitable. This access shows superiority over prosthetic grafts regarding patency and complications.

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Area of Science:

  • Vascular Surgery
  • Nephrology
  • Dialysis Access

Background:

  • National guidelines recommend brachial-basilic autogenous arteriovenous access for hemodialysis when cephalic vein is unsuitable.
  • This access is increasingly emphasized for hemodialysis patients.

Purpose of the Study:

  • To review the current literature on brachial-basilic autogenous arteriovenous access.
  • To address controversies regarding its surgical technique and role in treatment algorithms.

Main Methods:

  • Literature review of studies comparing brachial-basilic autogenous access with prosthetic grafts and other autogenous accesses.
  • Analysis of patency rates, reintervention rates, and infectious complications.

Main Results:

  • Brachial-basilic autogenous access demonstrates superior patency and lower reintervention and infection rates compared to arteriovenous grafts (AVGs).
  • Ongoing debate exists regarding its optimal placement in treatment algorithms and surgical execution.

Conclusions:

  • The brachial-basilic autogenous access is a favorable option for hemodialysis, outperforming AVGs in key outcomes.
  • Further clarification is needed on its precise role and technical considerations for surgeons.