Revascularization using distal inflow via a native retrograde cephalic vein branch for high-flow brachiocephalic arteriovenous fistula.

Varun Nannuri, Aurelie Tran, Danielle L Montano, Navya R K Kotturu, Dirk M Hentschel, Mohamad A Hussain

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Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Varun NannuriBurnett School of Biomedical Sciences, University of Central Florida College of Medicine, Orlando, FL.

Aurelie TranDivision of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Danielle L MontanoDivision of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Navya R K KotturuDivision of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Dirk M HentschelDivision of Kidney Disease, Interventional Nephrology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Mohamad A HussainDivision of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a 62-year-old male with end-stage kidney disease and a high-flow brachiocephalic arteriovenous fistula (3.3 L/min). Revascularization using distal inflow was performed with a naturally developed retrograde cephalic vein branch in the ipsilateral arm anastomosed to the distal radial artery. The original anastomosis was ligated. The patient could use the revised forearm portion of the autogenous moderate-flow fistula at 2-month follow-up. This case demonstrates the use of naturally augmented veins to facilitate revascularization using distal inflow rather than a prosthetic graft or saphenous vein conduit, offering a unique approach to flow reduction and creation of autogenous forearm conduits for cannulation.

Indexed as

End-stage kidney diseaseHemodialysisHigh-flow arteriovenous fistulaIschemiaRevascularization using distal inflow

Identifiers

PMID41377652

DOI10.1016/j.jvscit.2025.102036

PMCPMC12686896

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.