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Though his forearm cephalic vein measured a mere 15mm, his basilic vein presented a more substantial size. He experienced a successful outcome following the RBTAVF procedure. While radiocephalic AVF is often the preferred initial approach, brachiocephalic fistula (BCF) is frequently cited as a suitable alternative in many guidelines. International guidelines should prioritize RBAVF as a secondary vascular access option, alongside B
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