ArticlePediatric nephrology (Berlin, Germany)2019
Endovascular intervention in the maintenance and rescue of paediatric arteriovenous fistulae for hemodialysis.
Article in Pediatric nephrology (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed, 4 citations in OpenAlex.
- Update on the creation and maintenance of arteriovenous fistulas for haemodialysis in children.Pediatric nephrology (Berlin, Germany) · 2021Review
- Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundArteriovenous fistulae (AVF) provide superior primary vascular access for children on chronic dialysis compared to central venous catheters (CVC). However, AVFs inevitably develop complications and will require some intervention to maintain long-term functional patency.
methodsWe report an 'endovascular-first' approach to the maintenance and rescue of paediatric AVFs. Thirty interventions targeting 46 lesions in 18 children (median age 11 years [range 5-17]) were performed. Sixty-eight percent of the AVFs were brachio-cephalic fistulae, 26% brachio-basilic fistulae and 5% radio-cephalic fistulae. Immediate functional success was 86% with good dialysis adequacy (mean urea reduction ratio > 70%) at 3 months post procedure.
resultsThere was one significant complication, consisting of an AVF rupture which was managed with a covered stent.
conclusionsRepeated interventions may be necessary to maintain AVF patency and avoid central venous catheters. This is the largest series reported to date.
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