nach oben

Erschienen in:

01.12.2012 | Brief Report

Immediate use of an arteriovenous prosthetic graft for life-saving dialysis in a child

verfasst von: Chiara Grimaldi, Alessandro Crocoli, Lara De Galasso, Stefano Picca, Gian Luigi Natali, Jean De Ville De Goyet

Erschienen in: Pediatric Nephrology | Ausgabe 12/2012

Einloggen, um Zugang zu erhalten

Abstract

Background

Autologous arteriovenous fistulas (AVFs) are the current gold standard for vascular access in hemodialysis (HD). However, in pediatric patients, specific clinical settings may contraindicate the procedure, thus mandating the use of a prosthetic graft (PG).

Case-Diagnosis/Treatment

We report a case of successful polycarbonate urethane graft implantation and subsequent resumption of HD 12 h after the procedure in a young girl with end-stage renal disease (ESRD), challenging vascular anatomy and the absence of vascular access.

Conclusions

The use of polycarbonate urethane PGs in children with ESRD and difficult vascular accesses may represent a valid alternative for early resumption of HD.

National Kidney Foundation (2002) K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. Am J Kidney Dis 39(2 Suppl 1):S1–S266

Lau KK, Jones DP, Gaber O, Nezakatgoo N (2007) Use of “composite” vascular access graft in a young child on hemodialysis. Hemodial Int 11:190–192PubMedCrossRef

Zilla P, Bezuidenhout D, Human P (2007) Prosthetic vascular grafts: wrong models, wrong questions and no healing. Biomaterials 28:5009–5027PubMedCrossRef

Akoh JA (2009) Prosthetic arteriovenous grafts for hemodialysis. J Vasc Access 10:137–147PubMed

Wijeyaratne SM, Kannangara L (2011) Safety and efficacy of electrospun polycarbonate-urethane vascular graft for early hemodialysis access: first clinical results in man. J Vasc Access 12:28–35PubMedCrossRef

Hazinedaroglu SM, Kayaoglu HA, Ayli D, Duman N, Yerde MA (2004) Immediate postimplant hemodialysis through a new “self-sealing” heparin-bonded polycarbonate/urethane graft. Transplant Proc 36:2599–2602PubMedCrossRef

Nishibe T, Kondo Y, Muto A, Dardik A (2007) Optimal prosthetic graft design for small diameter vascular grafts. Vascular 15:356–360PubMedCrossRef

Karapınar K, Ulus AT, Tütün U, Aksöyek A, Apaydin N, Pamuk K, Can Z, Saritaş Z, Küçükay F, Arda K, Katircioğlu E (2004) Implantation of novel small-diameter polyurethane vascular prostheses interposed in canine femoral and carotid arteries. Eur Surg Res 36:241–248PubMedCrossRef

Titel: Immediate use of an arteriovenous prosthetic graft for life-saving dialysis in a child
verfasst von: Chiara Grimaldi
Alessandro Crocoli
Lara De Galasso
Stefano Picca
Gian Luigi Natali
Jean De Ville De Goyet
Publikationsdatum: 01.12.2012
Verlag: Springer-Verlag
Erschienen in: Pediatric Nephrology / Ausgabe 12/2012
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-012-2247-0

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Immediate use of an arteriovenous prosthetic graft for life-saving dialysis in a child