Abstract
To improve patency of the low-flow, low-pressure crossover venous graft for unilateral iliac venous occlusions, complementary arteriovenous fistula has been effective. Two additional anastomoses are usually required to construct a complementary A-V arteriovenous fistula, and a sometimes difficult and potentially dangerous dissection may be required to take down the fistula. A technique was developed for producing an A-V fistula with only 1 additional anastomosis. This fistula can be obliterated later by tightening a previously placed loop left in a subcutaneous position. This technique was used successfully in 2 patients.