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Results The patency rates of distal ligation and no ligation groups were 86.4% and 85.4%, respectively. The proximal flow rates of distal ligation and no ligation groups were 1192+/-812 ml/min and 1217+/-796 ml/min, respectively. The difference was not statistically significant (P 0.05). Only two cases (5%) with no ligation required revision ligation within one year of surgery. Conclusion Distal cephalic vein ligation does not increase the proximal cephalic flow rates and primary patency rates after one month. However, venous hyper