Dialysis access surgery: Brescia-Cimino (radiocephalic) fistula

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Local anesthesia
Dissecting the cephalic vein
Dissecting the radial artery
Preparing the end-of-vein-to-side-of-artery anastomosis, checking shunt vein patency
Preparing the radial artery, fashioning the end-to-side anastomosis with the cephalic vein
Wound closure, Doppler monitoring

Authors

Dr. med. Zmarai Nurzai

Dreifaltigkeits-Hospital Lippstadt

Date

Dissecting the cephalic vein

Fashion an approximately 3 cm long longitudinal incision between radial artery and cephalic vein. D

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After activation, you can expect the following content:

Local anesthesia
Dissecting the cephalic vein
Dissecting the radial artery
Preparing the end-of-vein-to-side-of-artery anastomosis, checking shunt vein patency
Preparing the radial artery, fashioning the end-to-side anastomosis with the cephalic vein
Wound closure, Doppler monitoring