Abstract:Objective To observe the effect and advantage of self great saphenous vein transplantation for artificial internal fistula.Methods A retrospective analysis was performed in the clinical data of 10 patients treated with great saphenous vein transplantation for renal failure,poor condition of upper limb artery or loss of arteriovenous fistula function after longterm use from February 2016 to July 2017 to summarize the surgical experience and evaluate the therapeutic effect.Results Among the 10 operated patients,there were 1 case of the first internal arteriovenous fistula operation,7 cases treated with second reconstruction due to early occlusion after the first operation and 2 cases operated with repair and reconstruction because of loss of function after longterm use of internal fistula.In the operation of self great saphenous vein transplantation,Jtype bridging of brachial artery with forearm vein was performed in 7 cases of (5 cases of bridging vein,2 cases of bridging basilic vein),and bridging of forearm drainage vein and vein was conducted in 3 cases.In 10 cases undergoing operation successfully,the function of arteriovenous fistula was good during postoperative 26 weeks followup with no serious complications.The direct cost of internal fistula operation was significantly lower than that of longterm catheter implantation and artificial blood vessel transplantation with high satisfaction in the patients.Conclusion Transplantation of long segment great saphenous vein into forearm internal fistula can benefit some uremic patients who have difficulty in routine internal fistula operation or need to reconstruct internal fistula,reduce the medical cost and improve the quality of life in the patients.