Norton de Matos, AntónioSousa, Clemente NevesAlmeida, PauloTeles, PauloRego, DuarteTeixeira, GabrielaLoureiro, LuísTeixeira, SérgioAntunes, Inês2020-06-052020-06-052018Ther Apher Dial, Vol. 22, No. 6, 2018: 570:574http://hdl.handle.net/10400.26/32505Vascular access dysfunction is a serious problem in dialysis units. Some patients have complex dysfunctions that are difficult to resolve. In this article, we report the case a of two patients with radiocephalic arteriovenous fistulae (RC-AVF) who had stenosis/occlusion of the forearm median vein and where we used the basilic vein of the forearm as a solution. We reviewed the use of this surgical solution in RC-AVF. Two male patients on hemodialysis exhibited stenosis/occlusion of the forearm median vein. The forearm basilic vein was isolated and rotated toward the forearm median vein in order to solve RC-AVF problems. One patient had fistula thrombosis 5 months after the procedure, while for the other patient, the fistula continues to work without problems. Literature describes only a few cases using the forearm basilic vein or the brachial vein for fistula recovery. This procedure increased the patency of fistulas. This approach has been proven to be a good solution for solving outflow problems using the superficial or deep veins, increasing fistula patency and avoiding the need to place a central venous catheter and all the related complications.engBrachial ArteryConstriction, PathologicForearmHumansKaplan-Meier EstimateMaleMiddle AgedPeripheral Vascular DiseasesRenal DialysisVascular PatencyVeinsArteriovenous Shunt, Surgicaljournal article10.1111/1744-9987.127191744-9987