Khalid Hussain, Rao Nouman Ali, Zahid Rafique, Maria Tariq, Attiq-ur Rehman, Muhammad Khalid Butt.
Study Between Two Techniques of Radiocephalic Fistula for patients on Hemodialysis.
Esculapio J Services Inst Med Sci Jan ;15(2):115-7.

Objective: To compare the patency rate and complications of two different surgical techniques of radiocephalic arteriovenous fistula side to side anastomosis with distal vein ligation and without distal vein ligationin patients who are on hemodialysis (HD) due to end stage renal failure. Methodology: This prospective study was carried out on total 468 patients over the duration of two years. The fistulae were created between radial artery and cephalic vein, side to side anastomosis. In one group distal vein was ligated to compare with the other one without distal vein ligation. Patients were followed up to first dialysis by AVF to assess the overall outcomes and various complications. Data of Follow up was collected for 6 months from patient`s dialysis staff. Results: 468 patients were included in study. Patients were divided in two groups i.e. Group-X (without distal vein run off) and Group-2 (with distal vein run off).In group-1, patency rate was 171(73.1%), while 207(88.5%) patients in group-Y with a statistically significant p-value of 0.0001. Conclusion: This study explained that there was a significant difference of patency rate and complications between the radiocephalic fistula with and without distal vein run ligation. Hence we will prefer distal vein run off in our setup in future.

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