title: Comparison of efficacy of side to side versus end to side arteriovenous fistulae formation in chronic renal failure as a permanent hemodialysis access.
abstract: BACKGROUND
  In candidate patients for permanent hemodialysis or dialysis on a regular basis, an appropriate vascular access has great importance. The best permanent access is AVF (arterio venous fistula). Use of a technique to create AVF with better patency seems to be logical.
  
  
  OBJECTIVE
  The present study aimed to compare the efficacy rate of AVFs using two different anastomosis methods; Side to Side (STS) versus End to Side (ETS) and to determine whether the different approaches render any preferences or complications.
  
  
  METHODS
  Sixty end stage renal disease (ESRD) patients were included in this clinical trial in two assigned groups of 30 patients. In one group end to side method to create AVF was used while in the other group Side to Side technique was applied for access in surgery. Both groups were followed for duration of 6 months to assess patency. For evaluating the quantitive variables, t-test was used while qualitative variables were measured using the chi-square and Fisher`s exact tests.
  
  
  RESULTS
  In the 6 months duration, 6 patients (20%) in the STS (side to side) group and 5 patients (16.6%) in the ETS (end to side) group experienced a non-functional AVF. In the ETS group the failure was generally a result of thrombosed access while in the STS group, 4 out of 6 patients with complications, experienced thrombosis while the other 2 patients had venous hypertension. The total failure rate was 18.3% and during the 6 months of follow up no significant difference was detected in the efficacy rate. Nevertheless, in case of longer follow ups, different outcomes could be seen.
  
  
  CONCLUSIONS
  This study demonstrated that there was no significant statistical difference between the functional patency rates of fistulae placed by STS or ETS methods.
authors.affiliation: General and Vascular Surgery Division, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, IR Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Mozaffar
authors.forename: Mahtab
authors.initials: M
authors.lastname: Fallah
authors.forename: Saran
authors.initials: S
authors.lastname: Lotfollahzadeh
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Sobhiyeh
authors.forename: Barmak
authors.initials: B
authors.lastname: Gholizadeh
authors.forename: Sayena
authors.initials: S
authors.lastname: Jabbehdari
authors.forename: Zeinab
authors.initials: Z
authors.lastname: Mahdi
keywords: Anastomosis, Surgical; Arteriovenous Fistula; Kidney Failure, Chronic