In this study, the most commonly used modalities of vascular access for hemodialyses were evaluated with stress on factors affecting success and complications of these conduits. Seven groups of angioaccess were compared, the first is the radiocephalic fistula, the second is the brachiocephalic fistula at the elbow, the third is the brochiobasilic fistula at the arm after superficialization of the basilic vein, the fourth is the brochio-antecubital, the fifth is the brochio-vena comitantes, the six is the diastate between the brachial artery and the axillary vein and the seventh is the catheter inserted in the internal jugular vein. The different groups were studied as regards the patients demographics (age-sex), smoking, history of hypertension, history of diabetes mellitus, primary illness leading to chronic renal failure (aetiology if known), duration of chronic renal failure, history of previous angioaccess procedure, state of the heart, percussion test duplex findings, dominant arm and complications. Factors which were found to have a negative impact on arteriovenous accesses were hypotension, bad vessels and history of previous angioaccess. The radiocephalic fistula is still the first choice and the best known vascular access for hemodialysis because of good survival characteristics and low complication rate. The brachiocephalic fistula is considered the second choice for angioaccess. Superficialization of the basilic vein with the formation of brachiobasilic fistula gave good results and also the brachio-vena comitantes and brochio-antecubital. The catheters are important especially in elderly patients and if all natural angioaccess were consumed. Synthetic grafts were used only in one occasion reflecting preference of performing natural access.