case_images: PMC11753794_01
case_images: a Illustration of the vessels and the procedures performed on the right forearm and the arm. b Procedure of additional anastomosis in the forearm using the SV. c Superficialization of the CV on the arm. RA, radial artery; BA, brachial artery; UA, ulnar artery; CV, cephalic vein; MVF, median vein of the forearm; SV, subcutaneous vein; SBAVF, snuff box AVF.
case_images: cnd-2025-0015-0001-542903_F01.jpg
case_images: PMC11753794_01_cnd-2025-0015-0001-542903_F01.jpg
case_images: F1
case_images: Additionally, DUS revealed a patent 4 mm CV in the lateral region of the forearm, which maintained outflow (shown in Fig. 1a). For this reason, a cuffed, tunneled central venous catheter was implanted, and next anastomosis was scheduled using the SV in distal part of the forearm (shown in Fig. 1a, b). An oblique incision was made in the distal part of the forearm, approximately 4-5 cm proximal to SBAVF (shown in Fig. 1a). The vein filled with blood when the clamps were released, and a typical murmur was noticed (shown in Fig. 1b). As a result, CV superficialization was performed on the arm (shown in Fig. 1a, c), followed by successful cannulation a month later with one needle (shown in Fig. 2a) and then two needles (shown in Fig. 2b).
case_images: a Canulation of the superficialized CV on the arm 1 month post-surgery with one needle. b Canulation of the same vessel with two needles 9 months later.
case_images: cnd-2025-0015-0001-542903_F02.jpg
case_images: PMC11753794_01_cnd-2025-0015-0001-542903_F02.jpg
case_images: F2
case_images: As a result, CV superficialization was performed on the arm (shown in Fig. 1a, c), followed by successful cannulation a month later with one needle (shown in Fig. 2a) and then two needles (shown in Fig. 2b).