Arteriovenous fistulas (AVFs) show superior patency and lower complications compared to other vascular accesses, therefore the preferred choice for patients on hemodialysis. However, in patients with failed accesses or poor cephalic veins, a prosthetic arteriovenous graft (AVG) or a transposed brachiobasilic fistula may be considered. Recent studies show that the brachiobasilic fistula show comparable or superior outcomes compared to an AVG. Also, the brachiobasilic fistula show lower revision rates and lower complications rates compared to an AVG. Accordingly, when considering a vascular access in patients with exhausted cephalic veins, the transposed brachiobasilic fistula may be considered before an AVG.

Keywords: Arteriovenous fistula, Brachiobasilic fistula, Arteriovenous graft