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Updated: Nov 16, 2025

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
The thrombosis of a 13 years old aneurysmal arteriovenous fistula
A Rezziki1, M Gharibi1, A Benzirar1
1Service de chirurgie vasculaire, CHU Mohammed VI, Faculté de médecine et de pharmacie, Université Mohammed premier, Oujda, Morocco.
A 46 years old female, with chronic stage renal failure for 15 years, presents to the emergency room with a thrombosis of her brachiocephalic arteriovenous fistula (functional for 13 years). The cephalic vein was aneurismal (6cm diameter) and the brachial artery was not dilated. After proximal and distal control of the brachial artery and the proximal cephalic vein, the aneurismal arteriovenous fistula was excise, the cephalic vein was ligatured, and the brachial artery was repaired with an end to end anastomosis.
A 46 years old female, with chronic stage renal failure for 15 years, presents to the emergency room with a thrombosis of her brachiocephalic arteriovenous fistula (functional for 13 years). The cephalic vein was aneurismal (6cm diameter) and the brachial artery was not dilated. After proximal and distal control of the brachial artery and the proximal cephalic vein, the aneurismal arteriovenous fistula was excise, the cephalic vein was ligatured, and the brachial artery was repaired with an end to end anastomosis.
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