TY - JOUR AU - Zia Ur Rehman , AU - Zainab Majid, AU - Laila Tul Qadar, AU - Aamina Majid, PY - 2020/10/15 Y2 - 2024/03/29 TI - Anatomical variations in upper arm vasculature pertinent to haemodialysis access creation: are surgeons aware sufficiently? JF - Journal of the Pakistan Medical Association JA - J Pak Med Assoc VL - IS - SE - Narrative Review DO - 10.47391/JPMA.893 UR - https://ojs.jpma.org.pk/index.php/public_html/article/view/1677 SP - 1-14 AB - <p><strong>Abstract</strong></p><p>There exist&nbsp;wide anatomical variations of upper limb. Their implication is perhaps greatest when it comes to failure of arteriovenous fistula&nbsp;(AVF) for chronic hemodialysis. Among arteries of forearm, brachial artery is of note, whose high bifurcation is associated with increased risk of failure. The superficial and accessory variants also cause&nbsp;difficulty for the surgeon. The single unpaired brachial vein and stenosis of cephalic vein compound&nbsp;the difficulties associated with AVF among many others. A thorough understanding of&nbsp;surgeons regarding normal anatomy and diverse variants holds high importance in context of deciding an appropriate site for arteriovenous (AV) anastomosis. Negligence in creation of fistula not only pose a threat to patients of end stage renal disease (ERSD) but also contributes to numerous other complications involving nerves and drug administration.</p><p><strong>Keywords:</strong> Brachial artery; basilic vein; arteriovenous fistula; vascular variations.</p><p><strong>Continuous....</strong></p> ER -