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Background: Arteriovenous fistulae (AVF) are the dialysis access modality of choice for patients with end stage renal disease (ESRD). The longer maturation time in children than that in adults and the technical difficulties imposed by small diameters of the vessels are other reasons for a reluctance to create AVFs in children. Methods: Data abstracted included age, weight, sex, etiology of renal failure, time on dialysis, CVC history, and transplantation history. Patients of age 0 to 15 were included in this study, age was the only inclusion criteria. Results: Pre operative and prior vene puncture was present in (80%) patients with primary failure. Greater than 1 previous access failure strong predictor of failure. Surprisingly absence of prior HD was favoring early failure. Intraoperatively poor vein distension( <2mm) and post operative Doppler showing absence of spiral laminar flow also predicted early failure in 100% of the patients. Conclusion: anatomic factors like vein distension, prior venepuncture highly influence the patency rates. anemia, hypertension and HD benefitted in maintaining patency. proper education of the medical fraternity dealing with peadiatric renal failure patients regarding these factor will help in long term functioning of the fistulas and survival.

Arterial injuries of the lower limbs are common following RTA, resulting in amputation, lifestyle limitation, and mortality if not intervened appropriately (1)( 2). In simple arterial injuries following revascularisation procedure, the results are generally good ranging more than 95% limb salvage rates (3)(4),but in case of complex arterial injuries like popliteal artery injuries and multilevel vascular injuries, results in poor outcomes in terms of limb salvage which ranges from 60% to 70%.The rate of amputation is very high in popliteal artery injuries because of limited collaterals in the below knee level (5).Limb salvage in patients with popliteal artery injury eventually depend on the duration of ischemia, mode of injury, concomitant injuries and delayed or no revascularisation, or failed revascularisation. Timely intervention of these injuries is of great importance for better limb salvage (6) .we did this retrospective study on 130 cases of popliteal artery injury patients who presented to our hospital , RGGGH , Institute of vascular injury between August 2010 and July 2015. All these patients were taken up for revascularisation procedure after clinical examination and doppler assessment. Amongst these 129 cases, 92 limbs were salvaged , 30 patients ended up in major amputation and 7 patients did not continued treatment following revascularisation procedure . Aim:-To present the incidence and various clinical presentations of popliteal artery injuries and limb salvage following revascularisation procedure at our hospital, RGGGH, Institute of vascular

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