Dialysis access surgery: Brachiocephalic fistula (“direct antecubital fistula”) - Vascular Surgery

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  1. Access in the right cubital fossa

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    Access in the right cubital fossa
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    Oblique skin incision in the right anticubital fossa with transection of the subcutaneous tissue.

    Tip:

    Spare the basilic and median cubital veins. They may come into play if the further course of the cephalic vein reveals problems and is unsuitable for fashioning a dialysis access fistula. In such a situation, a basilic fistula may be a suitable option, for example.

Dissecting the cephalic vein

Locate and dissect the cephalic vein, which is encircled centrally with a vessel loop. Close off th

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