Challenges of long-term vascular access in pediatric hemodialysis: Recommendations for practitioners.

Title

Challenges of long-term vascular access in pediatric hemodialysis: Recommendations for practitioners.

Creator

Raina R;Joshi H;Chakraborty R;Sethi SK

Publisher

Hemodialysis International.

Date

2020
2020-10-18

Description

Kidney transplantation is the preferred treatment of end-stage renal disease in children. However, time to transplant varies, making a well-functioning long-term vascular access essential for performing hemodialysis efficiently and without disruption until a kidney becomes available. However, establishing long-term vascular access in pediatric patients can present distinct challenges due to this population's unique characteristics, such as smaller body size and lower-diameter blood vessels. There are three main pediatric long-term vascular access options, which include central venous catheters (CVC), arteriovenous fistula (AVF), and arteriovenous graft (AVG). CVC are currently the most widely used modality, although various studies and guidelines recommend AVF or AVG as the preferred option. Although AVF should be used whenever possible, it is crucial that clinicians consider factors such as patient size, physical exam findings, comorbidities, predicted duration of treatment to decide on the most optimal long-term vascular access modality. This article reviews the three long-term vascular access methods in children and the benefits and complications of each.

Subject

Pediatrics; hemodialysis; vascular access; central venous catheter; arteriovenous grafts

Identifier

Format

journalArticle

Search for Full-text

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

ISSN

1542-4758 1492-7535

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Internal Medicine
NEOMED Student Publications

Update Year & Number

October 2020 List

Affiliated Hospital

Cleveland Clinic Akron General Hospital

Citation

Raina R;Joshi H;Chakraborty R;Sethi SK, “Challenges of long-term vascular access in pediatric hemodialysis: Recommendations for practitioners.,” NEOMED Bibliography Database, accessed June 18, 2021, https://neomed.omeka.net/items/show/11342.

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