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April 1971

Advantages of Surgical Arteriovenous Fistulas for Hemodialysis

Author Affiliations

Salt Lake City
From the Department of Surgery, University of Utah College of Medicine, Salt Lake City.

Arch Surg. 1971;102(4):359-362. doi:10.1001/archsurg.1971.01350040121024

One hundred and forty-three arteriovenous (A-V) communications were studied in 98 patients on chronic hemodialysis. Four categories of A-V communication were analyzed and compared as to incidence of complications and functional efficiency for hemodialysis. Infectious and thrombotic complications were significantly less in the group of radial A-V fistulas than in the groups of radial artery or posterior tibial artery siliconized-rubber shunts. Brachial A-V fistulas also had a significantly higher incidence of complications. It is concluded that the radial A-V fistula is a superior method of gaining access to a patient's circulation for chronic hemodialysis.