Article: Comparison of end-to-side versus side-to-side anastomosis in upper limb arteriovenous fistula in hemodialysis patients: A systematic review and meta-analysis.
2023 Volume 9, Page(s) 1079291
Abstract: Objective: It is currently unclear if the anastomosis technique impacts the patency of upper arm arteriovenous fistula (AVF) in hemodialysis patients. This review compared outcomes of end-to-side and side-to-side anastomosis for AVF fistula in ... ...
Abstract | Objective: It is currently unclear if the anastomosis technique impacts the patency of upper arm arteriovenous fistula (AVF) in hemodialysis patients. This review compared outcomes of end-to-side and side-to-side anastomosis for AVF fistula in hemodialysis patients. Methods: PubMed, CENTRAL, Web of Science, and Embase were searched for all types of studies published between 1st January 2000 to 3rd September 2022. Patency rates at 6, 12 months, maturation time, and complications were compared between ETS and STS groups. Results: Sixteen studies including six randomized controlled trials (RCTs) were included. Meta-analysis showed no difference in patency rates between ETS and STS group at 6 months (OR: 1.15 95% CI: 0.72, 1.83 Conclusion: Our review demonstrates that the STS anastomosis technique with distal vein ligation may result in significantly better patency rates as compared to the standard ETS technique. Data for complication rates are scarce and varied but without any significant differences between the two techniques. |
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Language | English |
Publishing date | 2023-01-06 |
Publishing country | Switzerland |
Document type | Journal Article ; Review |
ZDB-ID | 2773823-1 |
ISSN | 2296-875X |
ISSN | 2296-875X |
DOI | 10.3389/fsurg.2022.1079291 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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