Patency of permanent vascular access creation in paediatric patients with end stage renal disease

Ho, Hui Lian and Ahmad Sukari Halim and Arman Zaharil Mat Saad and Wan Azman Wan Sulaiman and Mohamad Ikram Ilias (2021) Patency of permanent vascular access creation in paediatric patients with end stage renal disease. Medical Journal of Malaysia MJM, 76 (5). pp. 737-740. ISSN 0300-5283

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Abstract

Renal transplant is the first-line therapy in paediatric patients with end-stage renal disease (ESRD). Wong HS and Goh BL reported up to 79% of 1061 paediatric patients still require long-term haemodialysis (HD).1 The lack of deceased and living donors is attributable to the poor awareness, cultural and religious grounds. Permanent vascular access (PVA) in paediatrics therefore, serves more as a long term treatment rather than a bridging therapy. We observed 5 children and an adolescent, all with previous indwelling catheters, who underwent arteriovenous fistula (AVF) creation and report the outcomes. The aim of this report is to determine the factors that influence the longterm patency of paediatric AVF. Factors such as body weight, vessel diameter, preoperative preparations, microsurgical technique and postoperative maintenance are discussed. In addition, considerations on the choice and timing of PVA is highlighted.

Item Type:	Article
Keyword:	Kidney, Pediatric nephrology, Vascular surgery
Subjects:	R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine > RC870-923 Diseases of the genitourinary system. Urology R Medicine > RJ Pediatrics > RJ1-570 Pediatrics > RJ52-53 Therapeutics
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SITI AZIZAH BINTI IDRIS -
Date Deposited:	10 Jun 2025 11:33
Last Modified:	10 Jun 2025 11:33
URI:	https://eprints.ums.edu.my/id/eprint/43988

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