TY - JOUR
T1 - Microsurgery for “wrist” arteriovenous fistula creation in children: a retrospective cohort study
T2 - a retrospective cohort study
AU - Akturk, Afram
AU - Bakx, Roel
AU - Oosterveld, Michiel J. S.
AU - Wilde, Jim C. H.
AU - Idu, Mirza M.
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Introduction: Creating functional arteriovenous fistulae (AVF) at the wrist is challenging in paediatric patients because of the small calibre of the blood vessels. Methods: We report our experience with AVF surgery in children younger than 15 years of age using microsurgical techniques. Twenty-five patients underwent AVF surgery between 2003 and 2015 (20 for haemodialysis, 4 for plasmapheresis and 1 for parenteral nutrition). Median (range) age was 9 (2-15) years and median weight was 24 (8-61) kg. Results: The one-month occlusion rate was 8%. The primary and secondary patency rates at 1, 2, 3 years were: 60%, 49%, 42%, and 82%, 72%, 54%, respectively. The median (range) maturation time was 4.53 (0.5-11.2) months. We found no statistically significant effect of patient age, body weight, type of AVF and indication for AVF creation on the primary and secondary patency rates. Conclusions: Microsurgical AVF creation at the wrist can be performed with satisfactory results and should be the preferred technique in the paediatric population.
AB - Introduction: Creating functional arteriovenous fistulae (AVF) at the wrist is challenging in paediatric patients because of the small calibre of the blood vessels. Methods: We report our experience with AVF surgery in children younger than 15 years of age using microsurgical techniques. Twenty-five patients underwent AVF surgery between 2003 and 2015 (20 for haemodialysis, 4 for plasmapheresis and 1 for parenteral nutrition). Median (range) age was 9 (2-15) years and median weight was 24 (8-61) kg. Results: The one-month occlusion rate was 8%. The primary and secondary patency rates at 1, 2, 3 years were: 60%, 49%, 42%, and 82%, 72%, 54%, respectively. The median (range) maturation time was 4.53 (0.5-11.2) months. We found no statistically significant effect of patient age, body weight, type of AVF and indication for AVF creation on the primary and secondary patency rates. Conclusions: Microsurgical AVF creation at the wrist can be performed with satisfactory results and should be the preferred technique in the paediatric population.
KW - Journal Article
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85051253758&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/29148005
U2 - https://doi.org/10.5301/jva.5000830
DO - https://doi.org/10.5301/jva.5000830
M3 - Article
C2 - 29148005
SN - 1129-7298
VL - 19
SP - 137
EP - 140
JO - Journal of Vascular Access
JF - Journal of Vascular Access
IS - 2
ER -