Side-to-side versus end-to-side anastomosis in distal radiocephalic arteriovenous fistula: A retrospective comparative study of maturation, patency and complications.

IF 1.7 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2025-10-01 DOI:10.1177/11297298251382264

Bostjan Leskovar, Jernej Vrtek, Mojca Bratanic, Tjasa Furlan

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引用次数: 0

Abstract

Background: This study compared side-to-side (STS) versus end-to-side (ETS) anastomosis in distal radiocephalic arteriovenous fistula (AVF) regarding maturation, patency and complications.

Methods: This was a single-centre, retrospective analysis of patients who underwent distal radiocephalic AVF creation between April 2018 and June 2024. Primary and secondary patency, maturation, thrombosis and reintervention rates were evaluated.

Results: No significant perioperative complications occurred among 151 STS and 122 ETS patients. Secondary patency rates were similar (STS 97% vs ETS 93%, p = 0.229). Primary patency was higher in the STS group (56% vs 43%, p = 0.025), though time to patency loss was comparable (p = 0.378). Maturation rates without intervention were 89% (STS) and 83% (ETS), with no statistically significant difference (p = 0.158). Fistula flow was higher with STS. AVF thrombosis was more frequent in ETS (10% vs 3%, p = 0.000), as was radial artery thrombosis (5% vs 0.7%, p = 0.032).

Conclusions: Our findings suggest STS is a safe, effective alternative to ETS in appropriate clinical settings.

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侧侧吻合与端侧吻合治疗桡骨头远端动静脉瘘：成熟、通畅及并发症的回顾性比较研究。

背景：本研究比较了侧侧吻合（STS）和端侧吻合（ETS）在远端放射性头动静脉瘘（AVF）中的成熟、通畅和并发症。方法：这是一项单中心回顾性分析，对2018年4月至2024年6月期间接受远端放射性头部AVF制造的患者进行分析。评估原发性和继发性通畅、成熟、血栓形成和再干预率。结果：151例STS和122例ETS患者围手术期无明显并发症发生。二次通畅率相似（STS 97% vs ETS 93%, p = 0.229）。STS组的原发性通畅率更高（56% vs 43%, p = 0.025），但通畅丧失的时间相当（p = 0.378）。未干预的成熟率分别为89% （STS）和83% (ETS)，差异无统计学意义（p = 0.158）。STS组瘘管流量较高。AVF血栓形成在ETS中更为常见（10% vs 3%, p = 0.000），桡动脉血栓形成也更为常见（5% vs 0.7%, p = 0.032）。结论：我们的研究结果表明，在适当的临床环境中，STS是一种安全、有效的替代ETS的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.