Comparison of one-year patency rates of end-to-side and side-to-side anastomosis technique in proximal forearm region radial-cephalic fistulas

Abstract

Objectives: In this study, the effects of anastomosis techniques on the results of patients with autogenous radialcephalic proximal forearm fistula were investigated. Methods: Patients who underwent radial-cephalic proximal forearm fistula surgery (arteriovenous fistula) between April 2015 and August 2017 at the Department of Cardiovascular Surgery of Ordu University were compared retrospectively in terms of the results of anastomosis techniques. The study included 131 patients who had arteriovenous fistulas created by side-to-side and end-to-side anastomosis technique. Results: There was no significant difference in demographic data, comorbidities, radial artery, and cephalic vein diameters in patients undergoing radial-cephalic proximal forearm fistula surgery. However, it was observed that fistula maturation was earlier in the group with end-to-side anastomosis technique, and the one-year patency rates were higher in the group with side-to-side anastomosis technique. Conclusion: In Arteriovenous fistulas created in the proximal forearm region, the one-year patency rate of the side-toside anastomosis technique was higher, while the maturation of the end-to-side technique observed earlier.