الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 154 |  |  |
| | | from | 154 | | |
Abstract
End Stage Renal Disease (ESRD) is a significant public health problem. During the last few decades, there is increasing prevalence of patients requiring hemodialysis (The primary use of autogenous arteriovenous access for chronic hemodialysis is recommended by NKF-DOQI guidelines. The Brescia-Cimino wrist (radio cephalic) fistula remains the first option of choice for access (20). When distal peripheral vessels are too tiny and not suitable for creation of radio cephalic fistula, brachio cephalic and brachio basilic fistulae are indicated (When autogenous arteriovenous fistula creation is impossible or the fistula has failed, one may decide to implant grafts as a vascular access conduit. These grafts may be autogenous such as great saphenous vein translocation or homologous vein implants (139) or synthetic such as PTFE (Gortex) material but Prosthetic grafts have inferior primary and secondary patency rates and higher incidence of some complications such as infections and stenosis formation (mostly at the graft vein anastomosis) leading to thrombotic occlusion within 12 to 24 months compared with autogenous fistulae (This study was conducted in the period from March 2018 to February 2020 , prospective randomized controlled study included 60 patients with a clinical diagnosis of end-stage renal failure (ESRF) requiring hemodialysis. Thirty patients were operated upon by saphenous graft for brachio-axillary shunt while the other thirty patients were operated upon by synthetic graft (PTFE) for brachio-axillary shunt.