Objective:To study the mode and experience of arteriovenous fistula operation in patients with end stage renal disease

and to reinforce the knowledge about arteriovenous fistula operation.Methods:458 cases of arteriovenous fistula(AVF)operation in 2004～2008 were analyzed about the selection of operation style

operation technique

achievement ratio and complication.Results:Overall achievement ratio of AVF was 95%.The achievement ratios were not significantly different among native forearm AVF operation

autogenous elbow AVF operation and AVF vascular prosthesis graft operation(P>0.05).but the achievement ratio of AVF autogenous vein graft operation was lower.The achievement ratio of AVF with diabetes or/and hypertension was lower than that of others(P<0.05). Conclusion:The first selection of AVF is native forearm AVF and the next is AVF vascular prosthesis graft or autogenous elbow AVF operation.The achievement ratio of AVF with diabetes or/and hypertension is lower.We shoud pay more attention to operation indicatios and operation skill.