The basilic vein receives perforating tributaries from the deep brachial veins through the medial brachial fascia along the medial upper arm, forming connections between the deep and superficial venous systems. These perforators are encountered during basilic vein transposition for haemodialysis access.
The basilic vein perforators are divided during basilic vein transposition (BVT) for arteriovenous fistula creation for haemodialysis, where the vein is moved from its medial fascial position to a more superficial anterior location for easier needling. Perforator ligation during BVT is essential to prevent post-operative haematoma. The medial cutaneous nerve of the forearm runs adjacent to the basilic vein and is at risk during perforator dissection.
Bleeding from incompletely ligated basilic vein perforators after haemodialysis access surgery producing medial arm haematoma and potential compression of the adjacent medial cutaneous nerve.
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