Xiong Y, Yu Y, Zhang C, et al. - Researchers investigated how cardiac structure and function at baseline could influence the outcomes related to arteriovenous fistula (AVF) among patients on hemodialysis (HD). In a retrospective manner, the inclusion of patients who started HD aged ≥70 years and received a mature AVF creation was done. Experts obtained echocardiographic parameters assessed within 1 week prior to AVF creation. This analysis involved 82 elderly Chinese HD patients with mature radiocephalic AVF (RCAVF) and EF ≥ 50%. RCAVF dysfunction was significantly predicted by left ventricle end‐diastolic volume (LVEDV) ≤ 103.5 mL and the right side of RCAVF. The factors that independently predicted RCAVF abandonment were the main pulmonary artery internal diameter (MPAID) ≤21.5 mm as well as the right side. Overall, significant predictive implications for the outcomes of RCAVF were displayed by LVEDV, MPAID evaluated by echocardiography and the right side of RCAVF. There is a need for additional investigations given differences among nationalities in the areas of utilization as well as patency of AVFs.