Norton de Matos, AntónioSousa, Clemente NevesAlmeida, PauloTeles, PauloLoureiro, LuísTeixeira, GabrielaRego, DuarteTeixeira, Sérgio2020-06-122020-06-122017Hemodialysis International 2017; 21:E63–E65http://hdl.handle.net/10400.26/32569Dysfunction problems with vascular access are a concern to patients and dialysis units. The vascular surgeon should analyse such dysfunction and perform a careful assessment of the vascular network in order to find new fistula layouts. We introduce and discuss the case of creation of a radio-cephalic fistula with outflow into the forearm basilic vein through rotation of the forearm basilic vein toward the cephalic vein in the forearm of an 88-year-old hemodialysis male patient. This technique enables extending fistula patency and improves cost efficiency.engAged, 80 and overArteriovenous Shunt, SurgicalFistulaForearmHumansMaleRadial ArteryRenal DialysisVascular PatencyVeinsjournal article10.1111/hdi.125361542-4758