Operative technique of autogenous forearm loop fistula

Autogenous AV access are preferred in all CKD patients due to good patency rates and lower risks of infection. Radiocephalic fistulas (RCF) are the first preferred access, but most patients have diseased and small diameter radial arteries. We would like to describe a technique of creating a forearm loop fistula, utilising a good forearm vein in patients with diseased radial arteries and failed RCF.