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Elbow arteriovenous fistula (EAVF) for chronic hemodialysis in small children
Journal of Pediatric Surgery
|April 1, 1983
Insights
Elbow arteriovenous fistulae (EAVF) provide effective vascular access for pediatric hemodialysis. This simple surgical procedure allows efficient, long-term dialysis in children, even those weighing as little as 10 kg.
Area of Science:
- Pediatric Surgery
- Vascular Access
- Nephrology
Background:
- Establishing reliable vascular access is crucial for long-term hemodialysis in children.
- Arteriovenous fistulae are a preferred method for vascular access due to their durability.
Purpose of the Study:
- To evaluate the safety and efficacy of elbow arteriovenous fistulae (EAVF) in pediatric patients.
- To assess the suitability of EAVF for prolonged hemodialysis in children.
Main Methods:
- Surgical creation of elbow arteriovenous fistulae in 10 pediatric patients.
- Follow-up assessment of fistula patency and dialysis efficiency.
- Monitoring for complications such as thrombosis.
Main Results:
- No operative failures were observed in the 10 children.
- Follow-up ranged from 5 to 22 months.
- Three episodes of thrombosis occurred in one child but were successfully recanalized.
- Efficient hemodialysis was achieved in children weighing as little as 10 kg.
Conclusions:
- Elbow arteriovenous fistulae are a safe and effective vascular access option for pediatric hemodialysis.
- The procedure is simple and suitable for prolonged use in children.
- EAVF facilitates efficient dialysis even in very young or small pediatric patients.
Abstract:
Elbow arteriovenous fistulae (EAVF) were constructed in 10 children aged 27 mo to 10 yr. There were no operative failures. Follow-up ranged from 5 to 22 mo. Three episodes of thrombosis occurred in a single child. The fistula was recanalized each time. The creation of an EAVF is a simple surgical procedure. Children weighing as little as 10 kg were efficiently dialysed for prolonged periods of time with this vascular access device.