Brachiobasilic fistula as a secondary access procedure: an alternative to a dialysis prosthetic graft.

Abstract

Brachiobasilic fistulas are technically feasible and show excellent patency. Fewer surgery-related complications were seen compared to upper arm prosthetic grafts, and most of them were treated without loss of the fistula. We suggest that this procedure should be considered before placement of a prosthetic graft whenever feasible. These observations merely represent our preliminary experience regarding this procedure, and further investigation involving larger cases numbers is needed in the future.