Challenging creation of a hemodialysis arteriovenous fistula (AVF) in a patient with high division of the radial artery.

Authors

Tomasz Gołębiowski, Olga Kwiecień, Julia Grasela, Anna Kuźniar, Maciej Gołębiowski, Wiktoria Kłosowska, Krzysztof Benc, Maciej Szymczak, Mirosław Banasik, Mariusz Kusztal, Kinga Musiał

Published in

The journal of vascular access. Pages 11297298261474546. Aug 09, 2026. Epub Aug 09, 2026.

Abstract

The radial artery (RA), a branch of the brachial artery, is frequently utilized in a variety of medical procedures: by cardiologists for cardiac catheterization, by nephrologists for arteriovenous fistula creation, by interventional radiologists, and by plastic surgeons for free flap reconstruction. Knowledge of RA anatomical variants is particularly important in patients with end-stage renal disease, as they often require fistula creation for hemodialysis. Failure to recognize such variants may lead to procedural complications. We describe the case of a 35-year-old man with diabetes whose preoperative ultrasound examination, performed before the creation of an arteriovenous fistula, revealed a high division of the radial artery into the superficial radial artery and the deep branch of the radial artery. The deep palmar branch of the radial artery was successfully used for anastomosis in the wrist. In this publication, we provide the data regarding this rare anomaly and indicate that such a finding should not lead to abandoning the creation of a radial-cephalic fistula.

PMID:
42571688
Bibliographic data and abstract were imported from PubMed on 10 Aug 2026.

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