Common autogenous AVF and AVG configurations
| ACCESS TYPE | ACCESS CONFIGURATION | DESCRIPTION |
|---|---|---|
| Autogenous AVF | Radiocephalic (Brescia-Cimino-Appel) | An anastomosis is created between the radial artery and the cephalic vein at the wrist. The outflow vein is cannulated in the forearm |
| Brachiocephalic | An anastomosis is created between the brachial artery and the cephalic vein at the antecubital fossa. The outflow vein is cannulated in the upper arm | |
| Brachiobasilic (requiring basilic vein transposition) | An anastomosis is created between the brachial artery and basilic vein in the antecubital fossa. This requires a more complex operation as the basilic vein is a deep structure and will need to be mobilized to a more superficial position in the arm to allow it to be cannulated. This procedure can be performed in 1 or 2 stages. The outflow vein is cannulated in the upper arm | |
| AVG | Forearm loop graft (brachial artery to median cubital vein or cephalic vein) | A prosthetic graft connects the brachial artery and the cephalic vein or median cubital vein within the antecubital fossa. The graft is tunneled as a loop in the proximal forearm |
| Upper-arm straight graft (brachial artery to axillary vein) | A prosthetic graft connects the brachial artery in the antecubital fossa with the axillary vein in the proximal upper arm. The graft is tunneled as an arc through the upper arm |
AVF—arteriovenous fistula, AVG—arteriovenous graft.