Unrecognized Basilic Vein Variation Leading to Complication during Basilic Vein Transposition Arteriovenous Fistula Creation: Case Report and Implications for Access Planning

C. L. Kaiser, J. E. Anaya-Ayala, N. Ismail, M. G. Davies, E. K. Peden

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Introduction: Knowledge about variations of the venous arm anatomy is limited despite its importance for a successful arteriovenous fistula creation. Report: We describe a complication of a Basilic Vein Transposition (BVT) resulting from failure to recognize aberrant anatomy. The brachial-basilic junction was located in an unusual position near the antecubital fossa leading to inadvertent distal brachial vein ligation and transposition of basilic and the proximal and unusually unpaired brachial vein. Discussion: This case highlights the prevalence of anomalies of upper extremity veins and the need for thorough Duplex vein mapping before surgery for the preservation and planning of future access.

Original languageEnglish (US)
Pages (from-to)627-629
Number of pages3
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume39
Issue number5
DOIs
StatePublished - May 1 2010
Externally publishedYes

Keywords

  • Basilic vein transposition arteriovenous fistula
  • Basilic vein variations
  • Basilic-brachial vein junction
  • Complication
  • Venous arm anatomy

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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