This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

A comparison between PTFE and denatured homologous vein grafts for haemodialysis access: a prospective randomised multicentre trial. Eur J Vasc Endovasc Surg 1998; 16: 126-32.

Published: 1st January 1998

Authors: Bosman PJ, Blankestijn PJ, van der Graaf Y, Heintjes RJ, Koomans HA, Eikelboom BC for the SMASH Study Group. et al.

Conclusion

Some 131 patients were included and followed for a mean of one year. Patency rates were similar (primary patency was 63% for both grafts). Removal was more likely for infection with PTFE grafts (29 per cent versus 14 per cent) but more vein grafts required revision for aneurysm formation (eight versus two)

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