A Trial of Interrupted vs Continuous Suturing Techniques for Radiocephalic Fistulae
NCT01704313 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 70
Last updated 2012-10-11
Summary
Patients with end-stage renal failure require dialysis to remove toxins from their blood. Haemodialysis is best provided through a native arterio-venous fistula (AVF). Creation of an AVF requires a short (\~1hr) surgical procedure to join the artery and vein together.
There are limited potential sites for fistula creation. Generally it is preferrable to utilise the most distal sites at the wrist first, as more proximal elbow procedures preclude subsequent use of the wrist should the initial fistula fail. The small diameter of artery and vein at the wrist requires precise surgical technique.
There are two potential techniques in common use for creating the arterio-venous anastomosis (the join between artery and vein) - continuous suturing and interrupted sutures. Whilst there are theoretical advantages to the interrupted technique, it is uncertain if these translate clinically into better success of creating the fistula. The aim of this study is therefore to compare the clinical success of the two techniques.
Conditions
- End Stage Renal Failure
Interventions
- PROCEDURE
-
Interrupted
Interrupted suturing technique used aroudn the heel of the vascular anastomosis
- PROCEDURE
-
Continuous
Continuous suturing technique used for the anastomosis
Sponsors & Collaborators
-
Emma Aitken
lead OTHER
Principal Investigators
-
David B Kingsmore, MBChB FRCS · NHS Greater Glasgow and Clyde
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-05-31
- Primary Completion
- 2013-08-31
- Completion
- 2014-05-31
Countries
- United Kingdom
Study Locations
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