Fistulization of brachial artery transposition to a deep vein: Overcoming return vein failure in a severely access-challenged hemodialysis patient

Fistulization of the BAT to the deep vein successfully salvaged HD access in a severely challenged patient by overcoming return vein failure. This technique overturns the convention that the venous return needle must be placed in a vein, offering a valuable, autogenous option for specific patients with exhausted VA reserves and a high risk of graft infection.