Background: It is essential to have a proper vessel route to do hemodialysis that is done by applying A-V fistula. In the current study complications and patency rate of side to side anastomosis with distal limb venous ligation have been evaluated during one year follow up.

Materials and methods: This study was carried out on 62 randomized CRF patients who received AVF by side to side anastomosis and patency rate of this technique were evaluated in six months and one year periods.

Results: Complications were reported in 12.9%, the vast majority of which were mild and none of them needed reoperation. The patency rate revealed to be 93.56%.

Conclusion: AVF by side to side anastomosis with distal venous limb ligation can have low complication and high patency rate. However, a longer time follow up and comparing with other techniques are needed for more accurate conclusions.