Comparative study of efficacy of end-to-side with side-to-side arteriovenous fistula in patients on hemodialysis

Aim: to compare efficacy of end-to-side with side-to-side arteriovenous fistula in patients on hemodialysis. methods: randomized controlled trial conducted in the department of urology,nishtar hospital multan for a period of 6 months. the exact dates are from 08-7-2012 to 08-1-2013. sample size was 168 patients in each group. sampling technique was non-probability purpose sampling results: among 336 patients divided in two equal groups of 168 patients each. mean age (±s.e.m.) of patients was 39.79±0.41 vs. 39.45±0.51 in group a and group b respectively. there were 15(8.9%) vs. 18(10.7%) patients having hemorrhage at 24 hours in group a and group b respectively. there were 3(1.8%) vs. 7(4.2%) patients having hemorrhage assessed after 1 month in group a and group b respectively. efficacy of group a (end to side technique) was 89.3% while in group b (side to side technique) efficacy was 85.1%. there was no significant difference regarding efficacy between the groups i.e. group a (end to side) or group b (side to side) p=0.253. conclusion: efficacy of end-to-side av fistula is superior to side-to-side av fistula in terms of postoperative hemorrhage at 24 hour and one month post operatively. there was no significant difference regarding efficacy between the groups i.e. group a (end to side) or group b (side to side) p=0.253.