Intermediate-term patency of upper arm arteriovenous fistulae for hemodialysis access in children

Haricharan, Ramanath N.; Aprahamian, Charles J.; Morgan, Traci L.; Harmon, Carroll M.; Barnhart, Douglas C.

doi:10.1016/j.jpedsurg.2007.09.036

Cited by 10 publications

(8 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Six months of follow-up was chosen due to the known epidemiology that the majority of nephrotic syndrome-, AVF-, and transplant anastomosis-related VTE occur within this time frame [8, 11, 12, 16]. Previously described ICD-9-CM diagnosis codes for VTE were utilized (Table 1) [1, 17-19].…”

Section: Methodsmentioning

confidence: 99%

“…The rate of graft failure due to thrombosis of vascular anastomoses following renal transplantation is approximately 3% [8-10]. The estimated thrombus-free survival of arteriovenous fistulae (AVF) for long-term hemodialysis is 74% at 1-2 years [11, 12]. However, the distribution and determinants of VTE (including non-graft, non-AVF VTE) have not been established for children with CRD.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Healthcare burden of venous thromboembolism in childhood chronic renal diseases

et al. 2014

View full text Add to dashboard Cite

Background Chronic renal diseases (CRD) are associated with ~5% of pediatric venous thromboembolism (VTE) cases, but the epidemiology of VTE in CRD is ill-defined. Methods Children (<18 years) with CRD were identified from MarketScan®. VTE diagnosis during 6 months after the first CRD diagnosis was ascertained. Demographics, healthcare utilization, mortality and co-morbid conditions were assessed. Results 22,877 children with predefined CRD ICD-9-CM codes were identified between April 1, 2003 and June 30, 2012, 0.55% of these children had VTE. In-hospital mortality was more likely in children with VTE compared to those without VTE (11.9% vs. 0.9%; p<0.0001). Healthcare utilization was also significantly higher with VTE (p<0.0001 for: number of inpatient admissions, length of stay, outpatient visits and pharmaceutical claims), and total mean healthcare expenditures for the 6 month follow-up period were 13 times greater in the VTE group ($338,338 (±$544,045) vs. $25,171 (±$90,792); p<0.0001). In a multivariate model infection, hemodialysis and trauma/surgery significantly increased the likelihood of VTE. Conclusions VTE is rare in children with CRD, but is associated with higher mortality and healthcare utilization when present. Among children with CRD, the likelihood of VTE was increased among those with co-morbid, non-renal chronic conditions.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Healthcare burden of venous thromboembolism in childhood chronic renal diseases

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Only 2 articles in the pediatric AVF literature specifically report patency rates for 1-stage BVT procedures. Haricharan et al [12] reports 2-year patency as 66% for 12 BVTs of 18 total AVFs, and Tannuri et al [13] reports patency (successful use of AVF 4 weeks after creation) as 100% for 5 BVTs of 49 total AVFs. Although a direct comparison of patency for our 1-year 2-stage BVT to that reported for these 1-stage BVT is not possible because of these differing definitions of patency, it does appear that our 1-year patency of 91% is comparable with these previous reports.…”

Section: Discussionmentioning

confidence: 99%

“…Arteriovenous fistulas were censored on the basis of death, renal transplantation with patent access, fistula ligation for steal, delay in transposition of a 2-stage BVT because of patient preference, and loss to follow-up. The criteria for censoring fistulas in our study were similar to that previously used in examination of AVF patency in the pediatric population [12]. SPSS 17.0 (SPSS, Chicago, Ill) was used to perform all statistical analysis (significance set at P b .05).…”

Section: Definitionsmentioning

confidence: 99%

Two-stage basilic vein transposition—a new approach for pediatric dialysis access

Kim

McLean

Swearingen³

et al. 2010

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…Most publications regarding vascular access are related to the adult population; however, a limited number of reports describe successful outcomes in younger patients, both in Europe and the United States [13][14][15][16][17][18][19][20].…”

mentioning

confidence: 99%