Format

Send to

Choose Destination
J Vasc Access. 2018 Mar;19(2):137-140. doi: 10.5301/jva.5000830. Epub 2018 Feb 19.

Microsurgery for "wrist" arteriovenous fistula creation in children: a retrospective cohort study.

Author information

1
1 Department of Vascular Surgery, Emma Children Hospital, Academic Medical Center, Amsterdam - The Netherlands.
2
2 Department of Paediatric Surgery, Emma Children Hospital, Academic Medical Center, Amsterdam - The Netherlands.
3
3 Paediatric Nephrology, Emma Children Hospital, Academic Medical Center, Amsterdam - The Netherlands.

Abstract

INTRODUCTION:

Creating functional arteriovenous fistulae (AVF) at the wrist is challenging in paediatric patients because of the small calibre of the blood vessels.

METHODS:

We report our experience with AVF surgery in children younger than 15 years of age using microsurgical techniques. Twenty-five patients underwent AVF surgery between 2003 and 2015 (20 for haemodialysis, 4 for plasmapheresis and 1 for parenteral nutrition). Median (range) age was 9 (2-15) years and median weight was 24 (8-61) kg.

RESULTS:

The one-month occlusion rate was 8%. The primary and secondary patency rates at 1, 2, 3 years were: 60%, 49%, 42%, and 82%, 72%, 54%, respectively. The median (range) maturation time was 4.53 (0.5-11.2) months. We found no statistically significant effect of patient age, body weight, type of AVF and indication for AVF creation on the primary and secondary patency rates.

CONCLUSIONS:

Microsurgical AVF creation at the wrist can be performed with satisfactory results and should be the preferred technique in the paediatric population.

KEYWORDS:

Arteriovenous fistula; Haemodialysis; Microsurgery

PMID:
29148005
DOI:
10.5301/jva.5000830
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center