Outcome of Brachial Artery to Median Cubital Vein Arteriovenous Fistula.

Document Type : Original Article

Authors

Department of Vascular 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.

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Aswan University Medical Journal
Volume 5, Issue 4
December 2025
Pages 133-143

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