Tunnel-transposition with veno-venous or veno-arterial re-anastomosis versus skin-flap elevation for second-stage superficialization of brachiobasilic arteriovenous fistula

Moustafa Mabrouk, Ahmed Fouda, Rasha Gawish, Mohammed ElKassaby, Department of Vascular and Endovascular Surgery, Faculty of Medicine, Kafrelsheikh University, Department of Internal Medicine Nephrology Unit, Faculty of Medicine, Alexandria University, Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Department of Vascular and Endovascular Surgery, Waterford University Hospital

Vascular

Published online on September 12, 2025

Abstract

Vascular, Volume 34, Issue 3, Page 717-724, June 2026.
IntroductionArteriovenous fistula is the preferred vascular access for patients with chronic kidney disease on hemodialysis. Brachiobasilic arteriovenous fistulas are valued for their durability and long-term patency in patients with unsuitable ...