First but not last: Forearm!

Abstract

Improved survival and higher diabetes rates inpatients with end-stage renal disease have renderedvascular access an increasingly challenging issue.Autogenous conduits are recommended by the currentguidelines for vascular access over other options.[1]In case of failing radiocephalic or brachiocephalicarteriovenous fistulas, humeral basilic veintransposition should be preferred over arteriovenousgrafts. To preserve the proximal vasculature,assessment of forearm basilic vein transposition mayreveal a promising option for arteriovenous fistulas.