Long-Term Experience of Arterio-Venous Fistula Surgery in Children on Hemodialysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Inclusion and Exclusion Criteria
2.3. Preoperative Evaluation and Operative Technique
2.4. Definitions and Data Collection
2.5. Statistical Analysis
3. Results
3.1. Patient Characteristics
3.2. AVF Characteristics
3.3. Patency Rates and Long-Term Outcome
3.4. Factors Influencing Patency Rates
3.4.1. Age
3.4.2. Body Weight
3.4.3. Localization
3.4.4. Hemodialysis before Fistula Creation
3.4.5. Cannulation
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Age, Years (Median, Range) | 15 (7–18) |
---|---|
Sex (n, %) | |
Male | 29 (51) |
Female | 28 (49) |
Weight, kg (median, range) | 47 (19–81) |
Etiology of renal failure (n, %) | |
Glomerulonephritis | 25 (44) |
Obstructive uropathy | 23 (40) |
Metabolic diseases | 5 (9) |
Metacystic dysplastic kidney | 2 (4) |
Unknown | 2 (4) |
Dialysis at time point of surgery (n, %) | 17 (30) |
Hemodialysis (via central venous catheter) | 20 (35) |
Peritoneal dialysis | 4 (7) |
Fistula configuration (n, %) | |
Forearm | 54 (95) |
Radial artery/cephalic vein | 51 (89) |
Radial artery/basilic vein | 2 (4) |
Ulnar artery/basilic vein | 1 (2) |
Upper arm | 3 (5) |
Cephalic vein | 2 (4) |
Basilic vein | 1 (2) |
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Almási-Sperling, V.; Gall, C.; Haney, B.; Latzel, N.; Knieling, F.; Hilger, A.C.; Regensburger, A.P.; Meyer, A.; Lang, W.; Rother, U. Long-Term Experience of Arterio-Venous Fistula Surgery in Children on Hemodialysis. J. Clin. Med. 2024, 13, 3577. https://doi.org/10.3390/jcm13123577
Almási-Sperling V, Gall C, Haney B, Latzel N, Knieling F, Hilger AC, Regensburger AP, Meyer A, Lang W, Rother U. Long-Term Experience of Arterio-Venous Fistula Surgery in Children on Hemodialysis. Journal of Clinical Medicine. 2024; 13(12):3577. https://doi.org/10.3390/jcm13123577
Chicago/Turabian StyleAlmási-Sperling, Veronika, Christine Gall, Briain Haney, Nina Latzel, Ferdinand Knieling, Alina C. Hilger, Adrian P. Regensburger, Alexander Meyer, Werner Lang, and Ulrich Rother. 2024. "Long-Term Experience of Arterio-Venous Fistula Surgery in Children on Hemodialysis" Journal of Clinical Medicine 13, no. 12: 3577. https://doi.org/10.3390/jcm13123577
APA StyleAlmási-Sperling, V., Gall, C., Haney, B., Latzel, N., Knieling, F., Hilger, A. C., Regensburger, A. P., Meyer, A., Lang, W., & Rother, U. (2024). Long-Term Experience of Arterio-Venous Fistula Surgery in Children on Hemodialysis. Journal of Clinical Medicine, 13(12), 3577. https://doi.org/10.3390/jcm13123577