Outcome of Brachial Artery to Median Cubital Vein Arteriovenous Fistula. | ||
Aswan University Medical Journal | ||
Articles in Press, Accepted Manuscript, Available Online from 29 July 2025 | ||
Document Type: Original Article | ||
DOI: 10.21608/aumj.2025.388388.1238 | ||
Authors | ||
Ali Mahmoud Galal1; Kareem Diaa Ahmed* 2; mohamed mokhtar eid3; Ahmed Khalaf Fathy4 | ||
1Vascular surgery, faculty of medicine,Aswaan university | ||
2Vascular surgery department | ||
3Department of Diagnostic Radiology, Faculty of Medicine, Aswan University | ||
4Vascular surgery, faculty of medicine, Aswan university | ||
Abstract | ||
Background: The surgical literature has created multiple sites for native A-V fistulas and offers several ideas to make fistulas more effective, such as elevation, superficializing, as well as retrograde flow. Methods: This prospective research was performed on 50 individuals > = 18 years old, both sexes, with end-stage renal disease (ESRD) for hemodialysis. Results: A mean age of 51.16 years ranging from 34 to 72 years. In terms of gender distribution, 44% of the subjects were females, while 56% were males. 44% had diabetes, and a significant 74% had hypertension. Additionally, 12% were affected by cardiovascular disease. Conclusions: Cephalic arch stenosis required PTA in 12% of the subjects and surgical bypass in another 12%, while 4% underwent resection with end-to-end anastomosis. Central venous stenosis necessitated PTA in 8% of the cases and jugular bypass in 4%., the brachial artery to median cubital vein fistula should be considered as a viable option for vascular access. | ||
Keywords | ||
Arteriovenous Fistula; Brachial Artery; Median Cubital Vein | ||
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