Clinical profile and outcome of arteriovenous fistulae in children on maintenance hemodialysis from a low-resource setting

Kamath, Nivedita; Naik, Naveen; Iyengar, Arpana

doi:10.1016/j.jvs.2022.06.098

Cited by 3 publications

(2 citation statements)

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“…According to a systematic review in order to assess outcomes of AVFs in elderly patients comparing both locations, forearm fistulas showed lower 1-year primary and secondary patency rates [44]. These data are comparable to the durability of AVFs in the pediatric population [12,15,17,39,45]. In our study, the primary patency rate was 67.6%, and the secondary patency rate was 87.3% after 1 year, with no difference between forearm and upper arm AVFs.…”

Section: Discussionsupporting

confidence: 75%

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

Almási-Sperling,

Gall,

Haney

et al. 2024

JCM

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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.

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Section: Discussionsupporting

confidence: 75%

“…Several studies have described success for the creation of AVFs in pediatric populations with variable rates of primary failure in the range of 5.5–33.3% [ 36 , 37 , 38 , 39 ]. In our study, primary failure was 10.5%, and therefore comparable to previously published results.…”

Section: Discussionmentioning

confidence: 99%