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There was a significant decrease in juxta-anastomotic stenosis (P = 0.04) and overall fistula failure using the pSLOT technique (P = 0.01). As outlined by Bharat et al., 24 different fashions of RCF anastomoses can be achieved for better patency. The first configuration is called the pSLOT procedure; after mobilizing the cephalic vein from its ...

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Conclusions: Piggyback straight-line on-lay technique (pSLOT) improves early outcome providing opportunity to identify other problems contributing to non-maturation. A large number of AVFs needing planned interventions to mature provide good long-term function.

Long-Term Outcome of Upper Extremity Arteriovenous Fistula using pSLOT ...

There was a significant decrease in JAS development in pSLOT patients (P =.04). pSLOT patients also revealed decreased overall fistula failure (ETS 40.3%, STS 33.3%, pSLOT 16.7%; P =.01). There was significant reduction in JAS and improvement in AVF maturation with pSLOT.