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Updated: Jan 17, 2026
Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Conventional technique versus no-touch technique in autogenous arteriovenous fistula: A meta-analysis
Weigang Tang1,2, Tong Li3, Wei Jiang1,2,4
1Department of Nephrology, The Wujin Clinical College of Xuzhou Medical University, Changzhou, Jiangsu Province, China.
Background:
The comparative benefit of the no-touch technique versus the conventional technique for autogenous arteriovenous fistula (AVF) creation is still uncertain. Thus, our meta-analysis was conducted to compare the clinical outcomes between these 2 techniques.
Methods:
Databases, including PubMed, EMBASE, the Cochrane Library, the China National Knowledge Infrastructure, and the Wanfang database, were searched from inception to May 1, 2025. Eligible studies comparing conventional and no-touch techniques for AVF creation were included. The data were analyzed using Review Manager Version 5.3.
Results:
Six studies were included in the meta-analysis. There was no significant difference between the conventional technique group and the no-touch technique group with regards to the success rate of surgery (odds ratio [OR] 0.38, 95% confidence interval [CI] 0.09-1.60, P = .19), maturation rate at 3 months (OR 0.53, 95% CI 0.24-1.18, P = .12), or secondary patency rate within 6 months to 1 year (OR 0.41, 95% CI 0.17-0.99, P = .05). The primary patency rate from 6 months to 2 years in the no-touch technique group was greater than that in the conventional technique group (OR 0.46, 95% CI 0.31-0.68; P < .0001).
Conclusion:
Compared with conventional techniques, the no-touch technique may have a greater primary patency rate for AVF creation. However, the 2 techniques did not significantly differ in terms of the success rate of surgery, maturation rate, or secondary patency rate.
