Ulnar basilic arterio venous fistula: An useful alternative access for hemodialysis Sekar Natarajan Indian Journal of Vascular and Endovascular Surgery 2019 6(2):79-81 Objective: Native arteriovenous fistula done at the distal most site has been promoted as the vascular access of choice. Radiocephalic fistula at wrist or snuffbox is widely used but ulnar basilic fistula is seldom performed. The aim of this study is to analyse the usefulness of ulnar basilic fistula as a hemodialysis access. Method: Retrospective analysis of 52 ulnar basilic fistula done in 51 patients over 20 years (2007-2017) with a follow up of one year was done. Results: Fifty two ulnar basilic fistulae were established in 51 patients. Three patients developed early thrombosis and in one of them another ulnar fistula could be established in the same limb. Three others thrombosed within the next 4 months. Six fistulas failed to mature and could not be used for dialysis. Fortyone out of 52 remained patent at the end of one year (78.8 %).There was no distal ischaemia in any of them. Majority of the failures occurred in women. Conclusion: Ulnar basilic fistula is an useful alternative when radiocephalic fistula is not possible or has already failed. It has high long term patency, has minimal complications and has the advantage of retaining the proximal sites for fistula in case of failure.