Arteriovenous fistulas for hemodialysis access in children and adolescents using the proximal radial artery inflow site

Jennings, William C.; Turman, Martin A.; Taubman, Kevin

doi:10.1016/j.jpedsurg.2008.11.001

Cited by 15 publications

(12 citation statements)

References 26 publications

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“…Numerous authors have documented success in creation of pediatric AVFs, with rates of failure before functional maturation as low as 5% and secondary patency rates as high as 70% to 100%; however, fewer studies exist that evaluate long-term outcomes in the pediatric population. 4,7,8,19,20 Bagolan et al 4 evaluated 112 fistulas in 90 patients with a cumulative 4-year patency rate of 63%. Our study compared favorably at similar follow-up intervals.…”

Section: Journal Of Vascular Surgerymentioning

confidence: 99%

Outcomes with arteriovenous fistulas in a pediatric population

Wartman

Rosen

Woo

et al. 2014

Journal of Vascular Surgery

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Section: Journal Of Vascular Surgerymentioning

confidence: 99%

Outcomes with arteriovenous fistulas in a pediatric population

Wartman

Rosen

Woo

et al. 2014

Journal of Vascular Surgery

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“…Experience with the PRA-AVF has shown it to have a lower complication rate and a primary, assisted primary, and cumulative patency rates that are superior to the radial-cephalic AVF especially in elderly 8 as well as pediatric patients. 9 In addition, by using radial artery AVF inflow rather than from the brachial artery, there are lower risks of DASS, arm edema, high-output cardiac failure, the development of a "mega-fistula," and idiopathic monomelic neuropathy. 8,[10][11][12][13] As a result, some surgeons have adopted this configuration as the first alternative in a patient in whom a radial-cephalic AVF is not feasible or where marginal vessels suggest a high likelihood of failure.…”

Section: Introductionmentioning

confidence: 99%

Two-year cumulative patency of endovascular arteriovenous fistula

2019

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Background and objectives: The recent advent of a device to create a proximal radial artery arteriovenous fistula using an endovascular approach to create the anastomosis represents a significant advance in dialysis access creation. This endovascular arteriovenous fistula offers the beneficial attributes of the proximal radial artery arteriovenous fistula while adding the advantages of avoiding a surgical procedure. The endovascular arteriovenous fistula can be created safely, functions well, has excellent patency, and has a high degree of patient satisfaction. The purpose of this study is to report the 2-year cumulative patency rate for a large multicenter cohort of endovascular arteriovenous fistula cases. Design: An endovascular arteriovenous fistula was created in 105 patients using either local or regional anesthesia and conscious sedation. Patient data were obtained from each program’s electronic health record system. Data collection was truncated at 2 years postprocedure and used to calculate cumulative patency. Post-access creation patient satisfaction was assessed. Results: A physiologically mature arteriovenous fistula (blood flow ⩾500 mL/min and a target vein internal diameter ⩾4 mm) was obtained in 98%. A clinically functional arteriovenous fistula (supporting two-needle dialysis according to the patient’s dialysis prescription) was demonstrated in 95%. Access failure resulting in the loss of access occurred in eight cases during the study period. The cumulative patency rate at 6, 12, 18, and 24 months was 97.1%, 93.9%, 93.9%, and 92.7%, respectively. The post-procedure patient evaluation emphasized a high level of patient satisfaction. Conclusion: The proximal radial artery arteriovenous fistula created using an endovascular approach for the anastomosis is associated with excellent 2-year cumulative patency and is associated with a high level of patient satisfaction.

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“…Le Saout and colleagues 9 reported that the CV was anatomically absent in 7% of patients, which is similar to our findings. Although we have not previously performed preoperative ultrasonography, routine preoperative vascular ultrasonography mapping on the CV might detect the absence of CV 10 and prevent unnecessary surgical dissection.…”

Section: Discussionmentioning

confidence: 99%

Cephalic vein cutdown for totally implantable central venous port in children: a retrospective analysis of prospectively collected data

Jung

Moon

2014

Can J Surg

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Background:The jugular vein cutdown for a totally implantable central venous port (TICVP) has 2 disadvantages: 2 separate incisions are needed and the risk for multiple vein occlusions. We sought to evaluate the feasibility of a cephalic vein (CV) cutdown in children. Methods:We prospectively followed patients who underwent a venous cutdown for implantation of a TICVP between Jan. 1, 2002, and Dec. 31, 2006. For patients younger than 8 months, an external jugular vein cutdown was initially tried without attempting a CV cutdown. For patients older than 8 months, a CV cutdown was tried initially. We recorded information on age, weight, outcome of the CV cutdown and complications.Results: During the study period, 143 patients underwent a venous cutdown for implantation of a TICVP: 25 younger and 118 older than 8 months. The CV cutdown was successful in 73 of 118 trials. The 25th percentile and median body weight for 73 successful cases were 15.4 kg and 28.3 kg, respectively. There was a significant difference in the success rate using the criterion of 15 kg as the cutoff. The overall complication rate was 8.2%. Conclusion:The CV cutdown was an acceptable procedure for TICVP in children. It could be preferentially considered for patients weighing more than 15 kg who require TICVP.Contexte : La dissection de la jugulaire pour la mise en place d'un dispositif d'accès veineux central totalement implantable comporte 2 inconvénients : 2 incisions distinctes sont nécessaires et il y a un risque de multiples occlusions veineuses. Nous avons voulu évaluer la faisabilité d'une dissection de la veine céphalique chez les enfants.Méthodes : Nous avons suivi de manière prospective des patients soumis à une dissection veineuse pour implantation d'un dispositif d'accès veineux central entre le 1er janvier 2002 et le 31 décembre 2006. Pour les patients de moins de 8 mois, une dissection de la jugulaire externe a d'abord été tentée, sans tentative de dissection de la veine céphalique. Pour les patients de plus de 8 mois, une dissection de la veine céphalique a d'abord été tentée. Nous avons noté l'âge, le poids, l'issue de la dissection de la veine céphalique et les complications. 4 Repeated trials and long-term in dwelling of the central venous catheter eventually lead to exhaustion of readily and easily accessible vessels. Although the calibre of the cephalic vein (CV) is usually smaller than that of the jugular veins, these disadvantages can be overcome by properly performing a CV cutdown. The jugular vein can be preserved for a period by using the CV first. Most published studies have involved adult patients; [5][6][7] there are few reports on the CV cutdown in children. Our objective was to analyze the results of CV cutdown and to provide guidelines for the CV cutdown in children. Résultats METHODS PatientsWe prospectively enrolled patients who underwent TICVP implantation between Jan. 1, 2002, and Dec. 31, 2006, at the Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Korea. The inclusion c...

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Arteriovenous fistulas for hemodialysis access in children and adolescents using the proximal radial artery inflow site

Cited by 15 publications

References 26 publications

Outcomes with arteriovenous fistulas in a pediatric population

Outcomes with arteriovenous fistulas in a pediatric population

Two-year cumulative patency of endovascular arteriovenous fistula

Cephalic vein cutdown for totally implantable central venous port in children: a retrospective analysis of prospectively collected data

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