الفهرس 
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Abstract
Native arteriovenous fistula (AVF) has become the first choice for permanent vascular access in patients with end-stage renal disease due to its lower rates of infection and thrombosis compared with other options (ie, catheter-based and arteriovenous graft). Hemodialysis (HD) was developed as a successful temporary treatment for patients with end-stage renal disease (ESRD) awaiting transplantation. Repeated access to the circulation is essential to perform adequate maintenance HD. The small number of available kidney donors and the increased survival of patients mean that most will require a prolonged period of artificial renal support, necessitating the formation of arteriovenous fistulas (AVFs).
The aim of this study is to improve AVF aneurysm management in HD patients presenting to Suez Canal University Hospital regarding the outcomes, cost and the time. While the main objective was to assess and compare the outcomes of aneurysmorrhaphy vs surgical exclusion of the aneurysm by bypass graft in terms of intra and post-operative complications and the patency rates during AVF aneurysm management in HD patients. This is a prospective comparative interventional study. A total of 16 HD patients with aneurysmal autogenous AVF were recruited in this study from Surgical operative theatre of the Suez Canal University hospital.
Patients were recruited and placed randomly into two groups from the outpatient