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11 - The transposed basilic fistula pictured above demonstrates that even patients with thicker and shorter arms can have a fistula
12 - This superficialized upper arm cephalic fistula was sizable, superficial and had adequate flow, but was difficult for dialysis personnel to palpate, leading to multiple misdirected cannulations and associated infiltrations. An ultrasound-assisted digital photo diagram was created to help guide cannulation and make everybody's day better.
13 - This transposed basilic fistula is only three weeks old and the incision is still healing but the fistula itself is usable. The basilic vein is the largest vein in the arm, and frequently does not need further time to grow to a usable size. The natural tissues also heal quickly. We have cleared basilic fistulas for use within ten days from creation when necessary.
14 - This mighty transposed basilic fistula might never have been born. Months earlier, radiologists cleaned out this patient’s clotted left arm veins, dilated the narrowings, and put the patient on blood thinners, thus preserving the left arm for use. Later, a very usable transposed basilic fistula was created from this once clotted vein.
15 - This patient was previously explored above the elbow for a transposed basilic fistula, but the basilic vein petered out in the mid upper arm and the operation was abandoned. The vein in the forearm was huge though, so we moved it to the upper arm.
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