Pediatric hemodialysis access

Almond, P. S.; Emran, Mohammad A.; Koehler, Shannon M.; Al-Akash, Samhar

doi:10.1016/j.sempedsurg.2021.151121

Cited by 7 publications

(2 citation statements)

References 145 publications

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“…The primary failure of 10.5% reported in the pediatric population lies in the normal range of that reported in adults, 5–46%, which is also the case for the patency rates (i.e., one-year secondary patency rate) [ 46 ]. Therefore, our findings further support the recommendations of current international guidelines preferring AVF to CVC in the pediatric patient population [ 22 , 47 ].…”

Section: Discussionsupporting

confidence: 88%

Long-Term Experience of Arterio-Venous Fistula Surgery in Children on Hemodialysis

Almási-Sperling,

Gall,

Haney

et al. 2024

JCM

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Background: Arterio-venous fistulas (AVF) are used as first-line access for hemodialysis (HD) in the pediatric population. The aim of this investigation was to describe a single-center experience in the creation of AVF, together with its patency in children. Methods: This single-center retrospective study included all patients aged ≤18 years with AVFs created between 1993 and 2023. The collected data included patients’ demographics, hemodialysis history, intraoperative data, and required reinterventions in order to determine the impact of these variables on primary, primary-assisted, and secondary patency. Results: Fifty-seven patients were analyzed with a median age of 15 years (range, 7–18 years). Fifty-four forearm and four upper arm fistulas were performed. The median follow-up was 6.9 years (range, 0–23 years). The primary failure rate was 10.5%. The primary patency rate was 67.6%, 53.6%, 51.4%, and 38.1% after 1, 3, 5, and 10 years; primary-assisted patency was 72.9%, 62.8%, 60.6%, and 41.5%; and secondary patency was 87.3%, 81.3%, 76.8%, and 66.6% after 1, 3, 5, and 10 years in the studied population. Conclusions: AVFs showed an acceptable rate of primary failure and excellent long-term patency. In this context, AVFs are an appropriate option for HD access, especially in pediatric patients.

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Section: Discussionsupporting

confidence: 88%

Long-Term Experience of Arterio-Venous Fistula Surgery in Children on Hemodialysis

Almási-Sperling,

Gall,

Haney

et al. 2024

JCM

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“…Addition, patients during the process of hemodialysis require vascular access for prolonged periods, repeated opportunities exist for person-to-person transmission of infectious agents, directly or indirectly via contaminated devices, equipment and supplies, environmental surfaces, or hands of personnel and they also require frequent hospitalizations and surgery, which increases their chances of contracting HAIs. (10) With the developments in technology, a new educational strategies as virtual reality, simulators, self-learning and video assisting education are now used to develop practical skills in nursing education and to increase knowledge. Video described as the electronic collection, recording, storage, transmission, and the reconstruction of a series of images showing moving scenes (11) .…”

Section: Introductionmentioning

confidence: 99%