Radial artery deviation and reimplantation technique vs classical technique in arterio-venous fistula:A randomised control trial  

作　　者：Shakti S Sarangi Shashank Kumar Deepak P Bhirud Mahendra Singh Shiv C Navriya Gautam Ram Choudhary Arjun Singh Sandhu 

机构地区：[1]Department of Urology,All India Institute of Medical Sciences,Jodhpur 342005,Rājasthān,India

出　　处：《World Journal of Nephrology》2025年第2期139-146,共8页世界肾病学杂志(英文)

摘　　要：BACKGROUND Surgically created arterio-venous fistulas(AVFs)are the gold standard for haemodialysis access for patients with end-stage renal disease.Standard practice of AVF creation involves selecting the non-dominant upper limb and starting with most distally with radio-cephalic arterio-venous fistula.The primary patency rate of radio-cephalic arterio-venous fistula varies from 20%-25%.It has been suggested the neointimal hyperplasia at the mobilized venous segment causes stenosis of the anastomosis.Therefore,the radial artery deviation and reimplantation(RADAR)technique,in which the vein is minimally mobilized,should result in a higher success rate.AIM To compare the RADAR technique with classical technique in creation of AVF including:(1)Success rate;(2)Time to maturation;(3)Duration of surgery;and(4)Complication rate.METHODS In our study we recruited 94 patients in two randomized groups and performed the AVF by the classical method or the RADAR method.RESULTS The RADAR group had higher primary success rate(P=0.007),less rate of complications(P=0.04),shorter duration of surgery(P=0.00)and early time to maturation(0.001)when compared with the classical group.The RADAR procedure is a safe and a more efficient alternative to the current classical method of AVF creation.Longer duration of follow-up is required to assess the long-term outcomes in the future.CONCLUSION The RADAR procedure is a safe and more efficient alternative to the current classical method of AVF creation.Longer duration of follow-up is required to assess the long-term outcomes in the future.

关 键 词：Radial artery deviation and reimplantation technique Classical technique Arterio-venous fistula Arterio-venous fistula trial Dialysis fistula Chronic kidney disease 

分 类 号：R69[医药卫生—泌尿科学]