Abstract
The population on dialysis is increasing because of multiple factors, including the rise in life expectancy that has taken place during this century and the admission of increasingly younger patients affected by diseases such as diabetes. Further, the life expectancy of the population on dialysis has also grown thanks to improvements in medical technology. Classical native vascular accesses like Brescia-Cimino radiocephalic AVF, the brachiocephalic AVF and transposition of basilic and ulnar veins continue to be the first choice since they present higher patency and lower complication rates as compared to prosthetic materials. Once all conventional access alternatives in the upper limbs have been exhausted, a viable alternative is the creation of an ulnarbasilic AVF in axillary loop.
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