Creating functional arteriovenous fistulae (AVF) at the wrist is challenging in paediatric patients because of the small calibre of the blood vessels.
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.
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.
Microsurgical AVF creation at the wrist can be performed with satisfactory results and should be the preferred technique in the paediatric population.
Post author correction
Article Type: ORIGINAL RESEARCH ARTICLE
Article Subject: Dialysis
AuthorsAfram Akturk, Roel Bakx, Michiel J.S. Oosterveld, Jim C.H. Wilde, Mirza M. Idu
- • Accepted on 13/10/2017
- • Available online on 13/11/2017
This article is available as full text PDF.
- Akturk, Afram [PubMed] [Google Scholar] 1
- Bakx, Roel [PubMed] [Google Scholar] 2
- Oosterveld, Michiel J.S. [PubMed] [Google Scholar] 3
- Wilde, Jim C.H. [PubMed] [Google Scholar] 2
- Idu, Mirza M. [PubMed] [Google Scholar] 1, * Corresponding Author (M.M.Idu@amc.uva.nl)
Department of Vascular Surgery, Emma Children Hospital, Academic Medical Center, Amsterdam - The Netherlands
Department of Paediatric Surgery, Emma Children Hospital, Academic Medical Center, Amsterdam - The Netherlands
Paediatric Nephrology, Emma Children Hospital, Academic Medical Center, Amsterdam - The Netherlands