Predictors of time to first cannulation for arteriovenous fistula in pediatric hemodialysis patients: Midwest Pediatric Nephrology Consortium study

Onder, Ali Mirza; Flynn, Joseph T.; Billings, Anthony A.; Deng, Fang; DeFreitas, Marissa; Katsoufis, Chryso; Grinsell, Matthew M.; Patterson, Larry T.; Fathallah-Shaykh, Sahar; Ranch, Daniel; Avilés, Diego; Copelovitch, Lawrence; Ellis, Eileen N.; Chadha, Vimal; Elmaghrabi, Ayah; Lin, Jen-Jar; Butani, Lavjay; Haddad, Maha; Marsenić, Olivera; Brakeman, Paul; Quigley, Raymond; Shin, Hyunjung; Garro, Rouba; Liu, Hui; Rahimikollu, Javad; Raina, Rupesh; Langman, Craig B.; Wood, Ellen G.

doi:10.1007/s00467-019-04396-3

Cited by 7 publications

(17 citation statements)

References 28 publications

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“…Various AVF sites were found to have different times to first cannulation. For example, femoral AVF had the shortest time to first cannulation (1.10 ± 0.75 months), which was significantly different from brachial AVF (4.40 ± 4.83 months) 31 . Femoral AVF were also cannulated earlier than radial AVF, but this was not statistically significant.…”

Section: Modalities Of Long‐term Vascular Accessmentioning

confidence: 78%

“…AVF matured successfully in 89/103 patients (86.4%). Mean time to first AVF cannulation was 4.04 ± 4.09 months 31 . Various AVF sites were found to have different times to first cannulation.…”

Section: Modalities Of Long‐term Vascular Accessmentioning

confidence: 95%

“…For the other variables, the following trends were noted. Each additional month in age at AVF placement lead to a mean decrease of 0.7 days to first cannulation time 31 . For each additional month in duration of NPVA, the mean time to first cannulation increased by 4.2 days 31 .…”

Section: Modalities Of Long‐term Vascular Accessmentioning

confidence: 97%

“…Each additional month in age at AVF placement lead to a mean decrease of 0.7 days to first cannulation time 31 . For each additional month in duration of NPVA, the mean time to first cannulation increased by 4.2 days 31 . For each additional unit increase at baseline Kt/V, the mean time to first cannulation decreased by 48.9 days 31 .…”

Section: Modalities Of Long‐term Vascular Accessmentioning

confidence: 99%

“…The Midwest Pediatric Nephrology Consortium (MPNC) vascular access patency study, published in 2019, conducted a retrospective review of data on AVF and AVG created in 117 patients less than 19 years old at 20 pediatric dialysis centers in the Midwest. Mean age at AVF creation was 15.0 ± 3.3 years 31, 32 . Most AVF (87/103, 84.4%) were created using the end‐to‐side anastomosis method, and the majority of vascular access sites were in the upper extremity (45 in the forearm, most commonly radiocephalic; 60 in the upper arm, most commonly brachiocephalic) 32 .…”

Section: Modalities Of Long‐term Vascular Accessmentioning

confidence: 99%

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Challenges of long‐term vascular access in pediatric hemodialysis: Recommendations for practitioners

Raina

Joshi

Chakraborty

et al. 2020

Hemodialysis International

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Kidney transplantation is the preferred treatment of end‐stage renal disease in children. However, time to transplant varies, making a well‐functioning long‐term vascular access essential for performing hemodialysis efficiently and without disruption until a kidney becomes available. However, establishing long‐term vascular access in pediatric patients can present distinct challenges due to this population's unique characteristics, such as smaller body size and lower‐diameter blood vessels. There are three main pediatric long‐term vascular access options, which include central venous catheters (CVC), arteriovenous fistula (AVF), and arteriovenous graft (AVG). CVC are currently the most widely used modality, although various studies and guidelines recommend AVF or AVG as the preferred option. Although AVF should be used whenever possible, it is crucial that clinicians consider factors such as patient size, physical exam findings, comorbidities, predicted duration of treatment to decide on the most optimal long‐term vascular access modality. This article reviews the three long‐term vascular access methods in children and the benefits and complications of each.

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Section: Modalities Of Long‐term Vascular Accessmentioning

confidence: 78%

Section: Modalities Of Long‐term Vascular Accessmentioning

confidence: 95%