Evaluation of the Radial Artery Deviation And Reimplantation Technique for Primary Hemodialysis Access Creation

Inclusion Criteria: * Patient referred by the nephrologist for the creation of a primary vascular access * Clinical examination of both upper limbs showing on the same limb: * A cephalic vein at the distal third of the forearm * Radial pulse * Ulnar pulse * Positive Allen test (patent palmar arches) * Preoperative arterial and venous duplex ultrasound examination of both limbs showing on the same limb : * A patent cephalic vein, ≥2mm in diameter at the distal 1/3 of the forearm, free from stenosis, ≥15cm in length * A patent on dominant radial artery, ≥2mm in diameter at the distal 1/3 of the forearm, free from stenosis and major calcifications * A patent ulnar artery, free from stenosis and major calcifications * A positive Allen's test with assessment of the retrograde flow (patent palmar aches) * Digital pressure \>50mmHg when occlusive compression is made on the radial artery and digital/brachial ratio \>0.5 Exclusion Criteria: * patient under guardianship