Radiocephalic Arteriovenous Fistula
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Radiocephalic Arteriovenous Fistula

The Radiocephalic Arteriovenous Fistula course will teach you:

  • To provide a long term vascular access site between the radial artery and the cephalic vein that can be cannulated repeatedly and provide adequate flow, typically for hemodialysis but also occasionally for parenteral nutrition

Special attention is paid to the following hazards you may encounter during the Radiocephalic Arteriovenous Fistula :

  • Vessel compression
  • Posterior arterial wall injury

With the following tips you might perform the Radiocephalic Arteriovenous Fistula procedure even better:

  • Access site determination
  • Vessel torsion prevention
  • Optimization of exposure by using self retaining retractors
  • Arterial occlusion using vascular clamps or double encircled vessel loops
  • Arteriotomy creation
  • Stay suture placement
  • Venotomy spatulation
  • Adequate vein length
  • Anastomosis flow confirmation
  • Order of vessel loop removal

After studying the Radiocephalic Arteriovenous Fistula course you are familiar with the most common complications:

  • Primary failure of fistula
  • Aneurysm and/or false aneurysm formation
  • Ischaemia

You might also be interested in:

Vascular Anastomosis – End-to-Side

Step by step

Vessel exposure

Skin

Mark

Mark the incision line on the skin 4 – 5 cm proximal to the wrist midway between where the radial pulse is palpable and cephalic vein visible.

Access site determination

Where possible the access site should be as distal as possible so that proximal sites are available later if needed.

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