Professional Documents
Culture Documents
FistulaFirst
The National Vascular Access
Improvement Initiative (NVAII)
Surgical Approaches to
A-V Fistula Construction:
Vein
Transpositions
2
2a
3
Median
antebrachial v.
Radial-cephalic
transposition
(straight or loop)
Loop transposition of
cephalic v. to proximal
radial a. (distal radial a.
was diseased)
non-transposed
basilic vein..
Note: frequent
hemorrhage from
needle puncturing
back wall of nontransposed vein
when forearm rests
on needle during
dialysis
Basilic vein
Radial-basilic
transposition (straight)
transposed
forearm basilic
vein to distal
radial a.
Radial-basilic
transposition (loop)
Brachial-cephalic
transposition
Cephalic v. transposition
Cephalic v. transposition
Cephalic v. transposition
Brachial-basilic vein
transposition (as a 1or 2-stage procedure)
Brachial-basilic transposition
Medial brachial
cutaneous n.
Basilic vein
..
Brachial-basilic transposition
Note transposed basilic vein is
superficial, lateral and away
from incisions
distal saphenous
v. ligation
Saphenous v. translocated
to right forearm