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

Autogenous radial-cephalic or prosthetic brachial-antecubital forearm loop AVF in patients with compromised vessels? A randomised, multicenter study of the patency of primary hemodialysis access. J Vasc Surg 2005; 42: 481-486.

Published: 1st January 2005

Authors: Rooijens PPGM, Burgmans JPJ, Yo TI, Hop WCJ, de Smet AAEA, van den Dorpel MA et al. et al.

Conclusion

Some 182 patients were randomized. One year primary patencies in the autogenous and prosthetic groups were 33 and 44 per cent, respectively, P=0.03. Secondary patency rates were 52 and 79 per cent, P=0.0001, but prosthetic grafts needed more interventions to maintain fistula patency: 0.94 vs. 0.5 per year, P=0.077.

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