Accessory Brachial Artery: A Rare Clinical Finding While Creating a Proximal Arterio-Venous Fistula - Abstract
Arterio-venous fistula (AVF) creation is a common operative procedure performed to aid hemodialysis in patients with chronic kidney disease (CKD). While attempting to do so, often we encounter multiple issues like - small vein caliber, thrombosed vein, vascular anomaly, abnormal bleeding etc. Knowledge of anatomy of blood vessels, of the specific sites intended for surgical intervention is imperative as the surgeon may come across abnormal variations, which may cause hindrance in performing the procedure or facilitate it. Here, we describe such an unusual anatomical variation in the arm, where we observed the presence of an accessory brachial artery, while creating a proximal AVF.