Affiliation:
1. University Department of Surgery, St James's University Hospital, Leeds LS9 7TF, UK
Abstract
Abstract
In an attempt to determine the optimum configuration of arteriovenous (A–V) fistulas for haemodialysis, 71 patients were prospectively randomized to undergo either a side-to-side or end-of-vein to side-of-artery A–V fistula. Nine months after operation, the patency rates on dialysis were almost identical in the two groups (79.2 per cent and 78.6 per cent respectively). However, 7 of the 32 side-to-side fistulas developed hyperaemia of the hand, three of which required revisional surgery. Hyperaemia of the hand has not been seen with end-to-side fistulas. In addition, peroperative measurements of fistula flow appeared to have prognostic value with end-to-side but not with side-to-side fistulas. It is suggested that the end-to-side configuration is the one of choice for the formation of A–V fistulas for haemodialysis.
Publisher
Oxford University Press (OUP)
Cited by
78 articles.
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