Radial Artery Mediacalcosis in Patient with End-Stage Kidney Disease: An Incidental Intraoperative Discovered During a Radiocephalic Native Arteriovenous Fistula (AVF) Creation

Medial arterial calcification (MAC) is a systemic vascular disorder due to disseminated of calcium phosphate within the medial layer, responsible for an increase in arterial stiffness and frequently associated with diabetes mellitus (DM), chronic kidney disease (CKD), and aging.We describe the case of a 70-year-old, man, diabetic, hypertensive patient with chronic kidney disease in which a Medial arterial calcification (MAC) was incidental discovered during a radio cephalic native arteriovenous fistula (AVF) creation for hemodialysis (HD) access during.The AVF was successfully performed and is used for hemodialysis sessions after a 60-day delay.The AVF remains currently permeable with good maturation parameters.