Direct Anastomosis: Cephalic Vein Hemodialysis Access

  • Rachel Heneghan
  • Niten SinghEmail author


The radiocephalic and brachiocephalic autogenous access approaches are first-line options for dialysis access and listed as “preferred” access by the National Kidney Foundation Dialysis Outcome Quality Initiative (K/DOQI) most recent 2006 guidelines. Both have superior long-term patency to prosthetic grafts in meta-analyses. This chapter focuses on direct anastomosis cephalic vein hemodialysis access, techniques, patency, and outcomes.


Cimino fistula Radiocephalic arteriovenous fistula Brachiocephalic arteriovenous fistula 


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Division of Vascular Surgery, Department of SurgeryUniversity of Washington, Harborview Medical CenterSeattleUSA
  2. 2.Division of Vascular Surgery, Professor of SurgeryUniversity of WashingtonSeattleUSA

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