Creation of arteriovenous fistula by forearm endoscopic basilic vein transposition.

Abstract

The basilic vein is one of the two primary veins used for creating an autogenous arteriovenous fistula in the upper extremity. In the creation of an arteriovenous fistula with basilic vein transposition in the forearm, an incision along the forearm is typically required to prepare the basilic vein. This extensive surgical incision can lead to wound healing issues. In this case, we reported that the basilic vein in the forearm could be prepared endoscopically. This method allowed for avoiding the surgical incision along the vein to be transposed. Endoscopic vein preparation allows for less surgical dissection in basilic vein transposition, and thus may be beneficial in avoiding postoperative wound complications.