Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Improved hemodialysis access in children

H Applebaum, V L Shashikumar, L A Somers

    Journal of Pediatric Surgery
    |December 1, 1980
    PubMed
    Summary

    Expanded polytetrafluoroethylene (PTFE) grafts offer superior long-term vascular access for pediatric hemodialysis compared to bovine carotid heterografts. PTFE grafts demonstrate better patency and fewer complications, making them the preferred choice for children requiring chronic dialysis.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    A peripheral blood diagnostic test for acute rejection in renal transplantation.

    American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2012
    Same author

    Complete steroid avoidance is effective and safe in children with renal transplants: a multicenter randomized trial with three-year follow-up.

    American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2012
    Same author

    Modeling extended lactation curves of dairy cattle: a biological basis for the multiphasic approach.

    Journal of dairy science·2003
    Same author

    Grammatical and resource components of sentence processing in Parkinson's disease: an fMRI study.

    Neurology·2003
    Same author

    A model for failure of a chicken embryo to survive incubation.

    Poultry science·2003
    Same author

    Analysis of tau haplotypes in Pick's disease.

    Neurology·2002

    Area of Science:

    • Pediatric Nephrology
    • Vascular Surgery
    • Biomaterials Science

    Background:

    • Vascular access for chronic hemodialysis in children presents significant challenges.
    • Difficulties include vessel size, limited shunt lifespan, and repeated punctures for internal fistulae.

    Purpose of the Study:

    • To evaluate the efficacy and safety of expanded polytetrafluoroethylene (PTFE) grafts for long-term hemodialysis access in pediatric patients.
    • To compare PTFE graft outcomes with bovine carotid heterograft (BCH) fistulae.

    Main Methods:

    • Twenty-five 6-mm PTFE grafts were inserted in 23 children (upper arm or thigh).
    • Patient outcomes, including dialysis sessions, patency rates, and complication rates, were recorded.
    • Comparison was made with 22 BCH fistulae from the preceding two years.

    Related Experiment Videos

    Main Results:

    • PTFE grafts achieved 88% long-term patency with a 36% complication rate (mostly minor).
    • Patients underwent 60 to 370 successful dialysis sessions per graft.
    • BCH fistulae showed only 36% patency and a 69% complication rate (mostly major).

    Conclusions:

    • Expanded polytetrafluoroethylene (PTFE) grafts are a preferred method for long-term hemodialysis access in children.
    • PTFE grafts offer significantly better patency and lower complication rates than bovine carotid heterografts.