Our experience in using the brachial venae comitantes as a native vascular access for hemodialysis.
A native arteriovenous fistula is the preferred vascular access for patients on long-term hemodialysis. In the absence of suitable superficial veins, the deep venous system can be used. We intend to present our experience in using the brachial venae comitantes (VC) to create a native arteriovenous fistula. From January 2012 to December 2014, we utilized the brachial vena comitantes to create 12 arteriovenous fistulae. Data from these 12 subjects were analyzed retrospectively to produce this case series. The average age of our subjects was 55.6 years. Forty-two percent of the subjects were women. Fifty percent of the subjects had diabetes mellitus and 58% had hypertension. We achieved a functional patency rate of 58% at 1 month's follow up after maturation. The brachio-brachial vena comitans fistula is a safe and plausible option in patients with no other suitable veins for a native fistula, more so in the hands of experienced surgeons. The longer time to cannulation has to be taken into consideration when creating a VC fistula. In suitable patients with end-stage renal disease, it can delay the use of an arteriovenous graft or a tunneled central venous catheter.
['Sha|Hon Leong|HL|', 'Luk|Tien Loong|TL|', 'Tee|Sze Chee|SC|', 'Hardin|Richard|R|', 'Seak|Chen Ken|CK|']
D000328:Adult D000368:Aged D001164:Arteriovenous Fistula D001916:Brachial Artery D005260:Female D006801:Humans D007676:Kidney Failure, Chronic D008297:Male D008875:Middle Aged D006435:Renal Dialysis D012189:Retrospective Studies D014654:Vascular Patency D014680:Veins
Brachial venae comitantes arteriovenous fistula ESRD