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Dialysis

Vascular access in children—arteriovenous fistula or CVC?

Central venous catheters are currently the primary method of vascular haemodialysis access used by paediatric nephrologists in the USA. However, new data from Ma and colleagues suggest that in children who require chronic haemodialysis, arteriovenous fistulas might be a safer option.

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References

  1. United States Renal Data System. 2012 USRDS Annual Data Report: atlas of chronic kidney disease and end-stage renal disease in the United States. United States Renal Data System [online], (2012).

  2. North American Pediatric Renal Trials and Collaborative Studies. NAPRTCS 2010 Annual Transplant Report. The EMMES Corporation [online], (2010).

  3. North American Pediatric Renal Trials and Collaborative Studies. NAPRTCS 2011 Annual Dialysis Report. The EMMES Corporation [online], (2011).

  4. Chand, D. H. & Valentini, R. P. International pediatric fistula first initiative: a call to action. Am. J. Kidney Dis. 51, 1016–1024 (2008).

    Article  Google Scholar 

  5. United States Renal Data System. USRDS 2009 Annual Data Report: atlas of chronic kidney disease and end-stage renal disease in the United States. United States Renal Data System [online], (2009).

  6. Ma, A. et al. A comparison of arteriovenous fistulas and central venous lines for long-term chronic haemodialysis. Pediatr. Nephrol. http://dx.doi.org/10.1007/s00467-012-2318-2.

  7. Vascular access 2006 Work Group. Clinical practice guidelines for vascular access. Am. J. Kidney Dis. 48 (Suppl. 1), S176–S276 (2006).

  8. Fadrowski, J. J., Hwang, W., Neu, A. M., Fivush, B. A. & Furth, S. L. Patterns of use of vascular catheters for hemodialysis in children in the United States. Am. J. Kidney Dis. 53, 91–98 (2008).

    Article  Google Scholar 

  9. Gradman, W. S., Lerner, G., Mentserm, M., Rodriquez, H. & Kamil, E. S. Experience with autogenous arteriovenous access for hemodialysis in children and adolescents. Ann. Vasc. Surg. 19, 609–612 (2005).

    Article  Google Scholar 

  10. Chand, D. H., Valentini, R. P. & Kamil, E. S. Hemodialysis vascular access options in pediatrics: considerations for patients and practitioners. Pediatr. Nephrol. 24, 1121–1128 (2009).

    Article  Google Scholar 

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Acknowledgements

The authors are supported by NIH grant U01DK066143.

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Correspondence to Robert H. Mak.

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Mak, R., Warady, B. Vascular access in children—arteriovenous fistula or CVC?. Nat Rev Nephrol 9, 9–11 (2013). https://doi.org/10.1038/nrneph.2012.265

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