{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:02:59Z","timestamp":1789167779698,"version":"build-2803163510"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T00:00:00Z","timestamp":1672963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>It is currently unclear if the anastomosis technique impacts the patency of upper arm arteriovenous fistula (AVF) in hemodialysis patients. This review compared outcomes of end-to-side and side-to-side anastomosis for AVF fistula in hemodialysis patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PubMed, CENTRAL, Web of Science, and Embase were searched for all types of studies published between 1st January 2000 to 3rd September 2022. Patency rates at 6, 12 months, maturation time, and complications were compared between ETS and STS groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixteen studies including six randomized controlled trials (RCTs) were included. Meta-analysis showed no difference in patency rates between ETS and STS group at 6 months (OR: 1.15 95% CI: 0.72, 1.83 <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u200952% <jats:italic>p<\/jats:italic>\u2009=\u20090.56) but better patency with STS at 12 months (OR: 0.63 95% CI: 0.41, 0.95 <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u200921% <jats:italic>p<\/jats:italic>\u2009=\u20090.03). The difference was non-significant in a subgroup analysis of RCTs and non-RCTs. In the absence of distal vein ligation in the STS group, the ETS group had significantly better patency at 6 months but with distal vein ligation, STS had higher patency at 12 months. Meta-analysis demonstrated no difference in maturation time between the two groups (MD: 0.10 95% CI: 0.29, 0.49 <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u200989% <jats:italic>p<\/jats:italic>\u2009=\u20090.61). Only a descriptive analysis of complications could be carried out with no major difference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our review demonstrates that the STS anastomosis technique with distal vein ligation may result in significantly better patency rates as compared to the standard ETS technique. Data for complication rates are scarce and varied but without any significant differences between the two techniques.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.1079291","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T18:23:08Z","timestamp":1673029388000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Comparison of end-to-side versus side-to-side anastomosis in upper limb arteriovenous fistula in hemodialysis patients: A systematic review and meta-analysis"],"prefix":"10.3389","volume":"9","author":[{"given":"Yu","family":"Zhou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongyan","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,1,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/978-981-13-8871-2_1","article-title":"Prevalence and disease burden of chronic kidney disease","volume":"1165","author":"Lv","year":"2019","journal-title":"Adv Exp Med Biol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1159\/000485728","article-title":"Methods we currently use for home hemodialysis management","volume":"196","author":"Sasaki","year":"2018","journal-title":"Contrib Nephrol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1038\/S41581-020-0333-2","article-title":"Challenges and novel therapies for vascular access in haemodialysis","volume":"16","author":"Lawson","year":"2020","journal-title":"Nat Rev Nephrol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1055\/S-0037-1606180","article-title":"The complications of vascular access in hemodialysis","volume":"44","author":"Masud","year":"2018","journal-title":"Semin Thromb Hemost"},{"key":"B5","doi-asserted-by":"publisher","first-page":"884","DOI":"10.1053\/J.AJKD.2015.07.015","article-title":"KDOQI clinical practice guideline for hemodialysis adequacy: 2015 update","volume":"66","author":"Rocco","year":"2015","journal-title":"Am J Kidney Dis"},{"key":"B6","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1002\/BJS.1800710831","article-title":"A prospective study of end-to-side vs. side-to-side arteriovenous fistulas for haemodialysis","volume":"71","author":"Wedgwood","year":"1984","journal-title":"Br J Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1016\/J.EJVS.2018.02.001","article-title":"Editor\u2019s choice - vascular access: 2018 clinical practice guidelines of the European society for vascular surgery (ESVS)","volume":"55","author":"Schmidli","year":"2018","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"226","DOI":"10.32553\/ijmbs.v5i8.2052","article-title":"Comparative study of end to side versus side to side arteriovenous fistula: a tertiary care center experience","volume":"5","author":"Kumar","year":"2021","journal-title":"Int J Med Biomed Stud"},{"key":"B9","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1177\/1708538120977023","article-title":"Comparison of one-year patency rates of end-to-side and side-to-side anastomosis technique in proximal forearm region radial-cephalic fistulas","volume":"29","author":"Kasimzade","year":"2021","journal-title":"Vascular"},{"key":"B10","doi-asserted-by":"publisher","first-page":"OC26","DOI":"10.7860\/jcdr\/2021\/46567.14456","article-title":"Comparison between the techniques of radiocephalic arteriovenous fistulas for haemodialysis: a retrospective analytical study","volume":"15","author":"Anil","year":"2021","journal-title":"J Clin Diagnostic Res"},{"key":"B11","doi-asserted-by":"publisher","first-page":"790","DOI":"10.1177\/1708538120976993","article-title":"End-to-side versus side-to-side anastomosis with distal vein ligation for arteriovenous fistula creation","volume":"29","author":"ElKassaby","year":"2021","journal-title":"Vascular"},{"key":"B12","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1177\/000313481508100421","article-title":"Radiocephalic fistulas for hemodialysis: a comparison of techniques","volume":"81","author":"O\u2019Banion","year":"2015","journal-title":"Am Surg"},{"key":"B13","doi-asserted-by":"publisher","first-page":"105906","DOI":"10.1016\/j.ijsu.2021.105906","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"88","author":"Page","year":"2021","journal-title":"Int J Surg"},{"key":"B14","author":"Wells","year":""},{"key":"B15","article-title":"Cochrane statistical methods group and the cochrane bias methods group. Chapter 8: assessing risk of bias in included studies","volume-title":"Cochrane handbook for systemic reviews of interventions (the cochrane collaboration)","author":"Higgins","year":""},{"key":"B16","first-page":"38","article-title":"The application of improved end-to- side anastomosis and traditional end-to-side anastomosis in arteriovenous fistula","volume":"10","author":"Chen","year":"2018","journal-title":"Clin J Chinese Med"},{"key":"B17","first-page":"1200","article-title":"The difrerenees between functional end-to-side anastomosis and traditional end-to-side anastomosis in the establishment of arteriovenous fistula surgery","volume":"23","author":"Xu","year":"2017","journal-title":"Int Med Heal Guid News"},{"key":"B18","first-page":"730","article-title":"The clinical application of functional end-to-side anastomosis in the primary arterio- venous fistula","volume":"20","author":"Tang","year":"2019","journal-title":"Chinese J Integr Tradit West Nephrol"},{"key":"B19","first-page":"808","article-title":"Application of functional end-to-side anasto- mosis for arteriovenous fistula angioplasty used in hemodialysis","volume":"18","author":"Zhang","year":"2017","journal-title":"Chinese J Integr Tradit West Nephrol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.3724\/SP.J.1008.2010.01065","article-title":"Functional and traditional end-to-side anastomosis for arteriovenous fistula plasty in hemo- dialysis patients:a randomized controlled study","volume":"31","author":"Guan","year":"2010","journal-title":"Acad J Second Mil Med Univ"},{"key":"B21","doi-asserted-by":"publisher","first-page":"628","DOI":"10.1177\/1708538119847392","article-title":"Comparison of side-to-end vs. side-to-side proximal arteriovenous fistula anastomosis in chronic renal failure patients","volume":"27","author":"Mestres","year":"2019","journal-title":"Vascular"},{"key":"B22","doi-asserted-by":"publisher","first-page":"10","DOI":"10.18535\/jmscr\/v6i11.02","article-title":"Comparison of side to side vs end to side arteriovenous fistula in upper limb for hemodialysis","volume":"6","author":"Das","year":"2018","journal-title":"J Med Sci Clin Res"},{"key":"B23","first-page":"235","article-title":"Comparative study of efficacy of end-to-side with side-to-side arteriovenous fistula in patients on hemodialysis","volume":"9","author":"Khan","year":"2015","journal-title":"Pakistan J Med Heal Sci"},{"key":"B24","doi-asserted-by":"publisher","first-page":"827","DOI":"10.5812\/numonthly.10248","article-title":"Comparison of efficacy of side to side versus end to side arteriovenous fistulae formation in chronic renal failure as a permanent hemodialysis access","volume":"5","author":"Mozaffar","year":"2013","journal-title":"Nephrourol Mon"},{"key":"B25","first-page":"67","article-title":"Native arterio-venous fistula is the vascular access of choice for hemodialysis in end stage renal disease","volume":"7","author":"Ganie","year":"2013","journal-title":"Int Cardiovasc Res J"},{"key":"B26","first-page":"109","article-title":"The advantages of end-to-side arteriovenous anastomosis over the other two types of arteriovenous anastomosis in dialysis patients","volume":"32","author":"Gali\u0107","year":"2008","journal-title":"Coll Antropol"},{"key":"B27","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1053\/J.SEMVASCSURG.2007.07.010","article-title":"Historical perspective on more than 60 years of hemodialysis access","volume":"20","author":"Cimino","year":"2007","journal-title":"Semin Vasc Surg"},{"key":"B28","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1007\/S11255-020-02691-9","article-title":"A meta-analysis of traditional and functional end-to-side anastomosis in radiocephalic fistula for dialysis access","volume":"53","author":"Weigang","year":"2021","journal-title":"Int Urol Nephrol"},{"key":"B29","doi-asserted-by":"publisher","first-page":"439","DOI":"10.5090\/KJTCS.2013.46.6.439","article-title":"Clinical analysis of radiocephalic fistula using side-to-side anastomosis with distal cephalic vein ligation","volume":"46","author":"Hong","year":"2013","journal-title":"Korean J Thorac Cardiovasc Surg"},{"key":"B30","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1177\/112972981001100106","article-title":"Arteriovenous fistulas constructed using side-to-side anastomosis with ligation and division of distal venous arm; a tertiary care hospital experience","volume":"11","author":"Ahsan","year":"2010","journal-title":"J Vasc Access"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.1079291\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T18:23:17Z","timestamp":1673029397000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.1079291\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,6]]},"references-count":30,"alternative-id":["10.3389\/fsurg.2022.1079291"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2022.1079291","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,6]]},"article-number":"1079291"}}