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Article

Long-Term Experience of Arterio-Venous Fistula Surgery in Children on Hemodialysis

by
Veronika Almási-Sperling
1,
Christine Gall
2,
Briain Haney
1,
Nina Latzel
1,
Ferdinand Knieling
3,
Alina C. Hilger
3,
Adrian P. Regensburger
3,
Alexander Meyer
4,5,
Werner Lang
1 and
Ulrich Rother
1,*
1
Department of Vascular Surgery, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Krankenhausstraße 12, 91054 Erlangen, Germany
2
Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen-Nuremberg, 91054 Erlangen, Germany
3
Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Loschgestraße 15, 91054 Erlangen, Germany
4
Department of Vascular Surgery, Helios Klinikum Berlin-Buch, Schwanebecker Chaussee 50, 13125 Berlin, Germany
5
Medical School Berlin, 14197 Berlin, Germany
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(12), 3577; https://doi.org/10.3390/jcm13123577
Submission received: 12 May 2024 / Revised: 7 June 2024 / Accepted: 15 June 2024 / Published: 18 June 2024
(This article belongs to the Section Hematology)
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Abstract

Background: Arterio-venous fistulas (AVF) are used as first-line access for hemodialysis (HD) in the pediatric population. The aim of this investigation was to describe a single-center experience in the creation of AVF, together with its patency in children. Methods: This single-center retrospective study included all patients aged ≤18 years with AVFs created between 1993 and 2023. The collected data included patients’ demographics, hemodialysis history, intraoperative data, and required reinterventions in order to determine the impact of these variables on primary, primary-assisted, and secondary patency. Results: Fifty-seven patients were analyzed with a median age of 15 years (range, 7–18 years). Fifty-four forearm and four upper arm fistulas were performed. The median follow-up was 6.9 years (range, 0–23 years). The primary failure rate was 10.5%. The primary patency rate was 67.6%, 53.6%, 51.4%, and 38.1% after 1, 3, 5, and 10 years; primary-assisted patency was 72.9%, 62.8%, 60.6%, and 41.5%; and secondary patency was 87.3%, 81.3%, 76.8%, and 66.6% after 1, 3, 5, and 10 years in the studied population. Conclusions: AVFs showed an acceptable rate of primary failure and excellent long-term patency. In this context, AVFs are an appropriate option for HD access, especially in pediatric patients.
Keywords: arterio-venous fistula; children; primary patency; secondary patency; long term arterio-venous fistula; children; primary patency; secondary patency; long term

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MDPI and ACS Style

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

AMA Style

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 Style

Almási-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 Style

Almási-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

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