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Updated: Jan 3, 2026

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
Published on: June 13, 2025
Primary External Stenting of an Autogenous Brachial-Basilic Upper Arm Transposition
Christoph Kuemmerli1, Dominik Habrina1, Stefan Puchner1
1Surgery and Vascular Surgery, Hanusch Hospital, Vienna, Austria.
Abstract:
High-volume shunt flow after arteriovenous fistula (AVF) creation for hemodialysis can cause high-output heart failure. We used the Frame™ (Vascular Graft Solutions Ltd., Tel Aviv, Israel) external support, a stent, to limit vein dilatation and consecutive high-volume shunt in a 62-old female who underwent brachial-basilic upper arm transposition. After maturation, the shunt was used for dialysis and showed a plateauing flow volume 3 months after the operation. This case illustrates the safety and feasibility of this intervention when performed during AVF formation.

