Comparative Study Between Using Of Synthetic Arteriovenous Fistula And Fistula Between The Brachial Artery And Vein For Hemodialysis In Patients With Exhausted Superficial Veins

Background: The high morbidity, mortality, and economic burden associated with end-stage renal disease (ESRD) make Is a Serious Hazard to Public Health. Dialysis access, once established, must be carefully maintained. When it comes to providing care for patients with ESRD, vascular surgeons play a vital role in facilitating hemodialysis access. Aim and objectives: study comparing the outcomes of dialysis through a native brachial artery-brachial vein arterio-venous fistula vs a prosthetic brachio-axillary graft in cases with chronic renal failure and depleted upper extremity superficial venous accesses. Subjects and methods: Sixty individuals with ESRD took part in the study's prospective randomized trial. The vascular surgery portion of the study took place at Al-Azhar University's Al-Hussein and Sayed Galal Hospitals in Cairo. The duration of the study was between six months to a year. Result: The rate of problems is similarly low in both groups. When comparing the patency rates of the two groups, there is no discernible difference. After 12 months, disease-free survival was 66.7% in group A & 63.3% in group B, with a log rank test of 0.86. Conclusion: In cases with chronic renal failure and depleted upper extremity superficial venous connections, a brachial artery-brachial vein arterio-venous fistula used as a native access for dialysis is as successful as a brachio-axillary graft used as a prosthetic vascular access.