ObjectiveTo evaluate the usage and complication of artificial vessel arteriovenous fistula as the blood access using in maintanance hemodialysis(MHD) patients. MethodsFour uremic patients undertook grafts fistulas in upper arms as the blood access to hemodialysis(HD). The application and complications were observed. ResultsFour patients successfully establish artificial vascular fistula. There was severe infection of incisional wound,and thrombosis 3 months after operation in 1 patient,and then the artificial graft was removed. There was limb swelling in 3 patients,swelling disappeared 3 or 4 weeks later. The fistula could be use to perform HD 30 or 35 days after operation with a blood flow of 250-350 mL/min. ConclusionArteriovenous graft is a good vascular access for hemodialysis,and the main complications are infection,thrombosis,limb swelling and so on.

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