Gallery:  1  |  2  |  3  |  4  |  5
1 - This forearm fistula – created where a large branch joins the cephalic vein several inches above the wrist – was released for use five weeks after creation. At ten months you can see the vein growing all the way up the arm. In truth, this fistula could be cannulated in the upper arm as well as in the forearm, and there would be zero recirculation with needles ten inches apart.
	2 - This transposed basilic fistula was created from the outflow vein of a failed wrist fistula, and was released for use within three weeks.
3 - This patient's wrist fistula, much revised and redilated over the years, was slowly failing. The basilic vein above it was transposed and is currently usable. When the fistula in the forearm finally fails, the upper part will be reconnected to the brachial artery at the elbow.
	4 - This transposed basilic fistula was created after failure of an unused left wrist fistula. "I've been on dialysis since I was fourteen, and this is the best decision I've made"
5 - This wrist fistula was created in 1974, and reportedly has required no intervention since that time. If you were on dialysis, would you want an access that worked for 30 years without a problem?
Gallery:  1  |  2  |  3  |  4  |  5