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Updated: Mar 6, 2026
Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Brachio-Brachial Arteriovenous Fistula Superficialization with Short Skip Incisions
António Norton de Matos1, Clemente Neves Sousa2, Paulo Almeida1
1Department of Vascular Surgery, Vascular Access Center (Grupo de Estudos Vasculares), Porto, Portugal; Department of Angiology and Vascular Surgery, Centro Hospitalar do Porto, Porto, Portugal.
Abstract:
The exhaustion of superficial venous patrimony or reduced diameter of superficial veins usually prevents patients from having an arteriovenous fistula created. In such cases, using deep vessels can be a more viable option as opposed to an arteriovenous graft. We describe a new approach for the brachio-brachial arteriovenous fistula creation technique. It consists of 3 small incisions, thus causing minimal surgical damage. We have found it to be better tolerated by the patients and well received by dialysis nurses. This procedure also allows improved access for cannulation and more available puncture sites.
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