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

Kim, Anne C.; McLean, Sean E.; Swearingen, A.M.; Graziano, Kathleen; Hirschl, Ronald B.

doi:10.1016/j.jpedsurg.2009.10.029

Cited by 13 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

“…One study looking at 42 AVF compared two-stage BVT with all other types and found improved patency at 1 year for two-stage BVT at 91% vs 47% for other type. 8 Their study did not, however, compare fistula by location and included single-stage BVT in the "other" group. Despite most thrombosis occurring in radiocephalic fistulas in our study, the overall patency of the fistula was not determined by location.…”

Section: Journal Of Vascular Surgerymentioning

confidence: 99%

“…3 The feasibility of AVF creation in pediatric patients has long been documented, but few studies have evaluated long-term outcomes in large study populations. [4][5][6][7][8][9][10][11] The aim of this study was to examine factors that influence the long-term patency and durability of pediatric AVFs in a large cohort of pediatric patients.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Outcomes with arteriovenous fistulas in a pediatric population

Wartman

Rosen

Woo

et al. 2014

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

Section: Journal Of Vascular Surgerymentioning

confidence: 99%

Section: Journal Of Vascular Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Outcomes with arteriovenous fistulas in a pediatric population

Wartman

Rosen

Woo

et al. 2014

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…A clinically significant post-anastamotic stenosis, or steal, if it develops, was easier to surgically revise at the second stage when mobilizing the entire vein. 29 Our initial technical success was 96.8%. It is close to the success rate done by Matoussevitch et al30 (100%) but it was higher than that of Onder et al 31 (86%) and this was mostly due to the fact that 87% of his patients had previously failed VA trials with long dialysis time before placement (9.8 ± 21.2 months vs 1.8±.9 months).…”

Section: Discussionmentioning

confidence: 81%

Long-term Patency of Arteriovenous Fistulas as a Vascular Access in Paediatric Age Group Patients with End-stage Renal Disease-Egyptian experience

Lotfy

Shaalan

Elemam

et al. 2021

Ain Shams Journal of Surgery

View full text Add to dashboard Cite

Background: Vascular access (VA) for hemodialysis (HD) is the cornerstone of treatment of end-stage renal disease in children. Purpose:To evaluate the causes that may result in primary failures, to evaluate the long-term outcome of AVFs in the vascular access as regards primary and secondary access patency, and to study the effect of patients' demographics and type of VA upon patency.Patients and methods: Paediatric age group patients with ESRD from El Shatby University Hospital for Children were evaluated by duplex ultrasound and VA was constructed.Results: 218 children were evaluated.188 children had AVF. The initial success rate was 96.8%. Early failure occurred in 13.9%. The mean follow-up was 18.9 ± 11.2 months. 75% of our patients were blow 50th percentile. The mean maturation-time was 1.7±0.5 months. Primary and secondary patency rates at 1, 2, and 3 years of follow-up, were 80.1% (± 2%), 67.3% (±2%), 41.3% (±2%), and 85.4% (±1%), 75.6% (± 1%), and 67.4% (± 1%) respectively. Complications were stenosis, thrombosis, infection, venous hypertension, steal, aneurysms and pseudoaneurysm, and high-flow AVF. At the end of the follow-up period, 32 (17.3%) AVFs were complicated and eventually failed, 20 (10.8%) were abandoned due to death or patients lost follow-up, and 125 (67%) were patent. Conclusion:AVFs in paediatric age group have a good outcome and long-term patency provided by good choice of the patient, and operation by dedicated surgeons. Surveillance of the fistula and rapid correction of any complications are very crucial steps to keep the fistula functioning.

show abstract

“…The basilic AVF has gained popularity in the last decade, as an alternative access to the cephalic AVF in both the adult and pediatric populations. 17,18 The vast majority of adult upper arm basilic AVFs require transposition to be successfully cannulated for dialysis. Whether the transposition procedure should be done all in one stage or in a planned second stage remains controversial.…”

Section: Discussionmentioning

confidence: 99%

The Role of Preoperative Duplex Ultrasound Vessel Mapping in Determining Primary Failure of Pediatric Hemodialysis Arteriovenous Fistula

Huynh

Garza

Geer

et al. 2019

Journal for Vascular Ultrasound

View full text Add to dashboard Cite

The autogenous arteriovenous fistula (AVF) is the preferred vascular access for pediatric and adult patients on chronic hemodialysis (HD). However, the prevalent rate of AVF use in children remains low in the United States. Duplex ultrasonography (DUS) of arm vessels is an essential step in the planning of AVF creation in adults, but its use in children is not described in much detail. In this retrospective study, we examined the role of preoperative DUS in children and adolescents who underwent AVF creation at a single large pediatric hospital, from 2008 to 2017. In addition, we sought to determine the potential risk factors for primary failure (PF), which was defined as the inability to use the AVF for at least a sustained 6-week period either due to thrombosis or any other reasons. We created 67 AVFs in 57 patients (34 male; 60%). The overall PF was 16% (11/67), and higher in cephalic AVF (10/40, 25%) compared to basilic (1/27, 3.7%), P = .04. The median maturation time was longer for basilic compared to cephalic AVF (105±47 vs. 88±38 days, respectively, P = .006). The size of the juxta-anastomotic vein and artery on preoperative DUS was not significantly different in cephalic versus basilic AVFs. However, the median diameter of the outflow vein was significantly smaller in the cephalic compared to basilic AVF (3.4 mm vs. 4.2 mm, P = .042). In addition, the outflow vein size was the only preoperative factor found to be significant as possible predictor for PF on univariable analysis. The results of this study show that the PF rate and maturation time for AVFs created in children and adolescents are comparable to adults, with the routine use of preoperative DUS. We postulate that vessel selection for AVF in the pediatric population should take into consideration the size of the vein at the outflow (and not just at the anastomosis).

show abstract

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

Cited by 13 publications

References 18 publications

Outcomes with arteriovenous fistulas in a pediatric population

Outcomes with arteriovenous fistulas in a pediatric population

Long-term Patency of Arteriovenous Fistulas as a Vascular Access in Paediatric Age Group Patients with End-stage Renal Disease-Egyptian experience

The Role of Preoperative Duplex Ultrasound Vessel Mapping in Determining Primary Failure of Pediatric Hemodialysis Arteriovenous Fistula

Contact Info

Product

Resources

About