Microsurgery for "wrist" arteriovenous fistula creation in children: a retrospective cohort study

Afram Akturk; Roel Bakx; Michiel J S Oosterveld; Jim C H Wilde; Mirza M Idu

doi:10.5301/jva.5000830

Microsurgery for "wrist" arteriovenous fistula creation in children: a retrospective cohort study

Afram Akturk, Roel Bakx, Michiel J S Oosterveld, Jim C H Wilde, Mirza M Idu

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

INTRODUCTION: Creating functional arteriovenous fistulae (AVF) at the wrist is challenging in paediatric patients because of the small calibre of the blood vessels.

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: Microsurgical AVF creation at the wrist can be performed with satisfactory results and should be the preferred technique in the paediatric population.

Original language	English
Pages (from-to)	137-140
Number of pages	4
Journal	The journal of vascular access
Volume	19
Issue number	2
Early online date	13 Nov 2017
DOIs	https://doi.org/10.5301/jva.5000830
Publication status	Published - 1 Mar 2018

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10.5301/jva.5000830

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Akturk, A., Bakx, R., Oosterveld, M. J. S., Wilde, J. C. H., & Idu, M. M. (2018). Microsurgery for "wrist" arteriovenous fistula creation in children: a retrospective cohort study. The journal of vascular access, 19(2), 137-140. https://doi.org/10.5301/jva.5000830

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abstract = "INTRODUCTION: Creating functional arteriovenous fistulae (AVF) at the wrist is challenging in paediatric patients because of the small calibre of the blood vessels.METHODS: 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.RESULTS: 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.CONCLUSIONS: Microsurgical AVF creation at the wrist can be performed with satisfactory results and should be the preferred technique in the paediatric population.",

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T1 - Microsurgery for "wrist" arteriovenous fistula creation in children

T2 - a retrospective cohort study

AU - Akturk, Afram

AU - Bakx, Roel

AU - Oosterveld, Michiel J S

AU - Wilde, Jim C H

AU - Idu, Mirza M

PY - 2018/3/1

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N2 - INTRODUCTION: Creating functional arteriovenous fistulae (AVF) at the wrist is challenging in paediatric patients because of the small calibre of the blood vessels.METHODS: 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.RESULTS: 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.CONCLUSIONS: Microsurgical AVF creation at the wrist can be performed with satisfactory results and should be the preferred technique in the paediatric population.

AB - INTRODUCTION: Creating functional arteriovenous fistulae (AVF) at the wrist is challenging in paediatric patients because of the small calibre of the blood vessels.METHODS: 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.RESULTS: 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.CONCLUSIONS: Microsurgical AVF creation at the wrist can be performed with satisfactory results and should be the preferred technique in the paediatric population.

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