MICROSURGICAL CREATION AND FOLLOW-UP OF ARTERIOVENOUS-FISTULAS FOR CHRONIC-HEMODIALYSIS IN CHILDREN

被引：57

作者：

BOURQUELOT, P

CUSSENOT, O

CORBI, P

PILLION, G

GAGNADOUX, MF

BENSMAN, A

LOIRAT, C

BROYER, M

机构：

[1] Département d'Urologie, Hôpital Saint-Joseph, Paris Cedex 14, F-75674

[2] Département de Néphrologie Infantile, Hôpital Robert Debré, Paris

[3] Département de Néphrologie Infantile, Hôpital Necker-Enfants Malades, Paris

[4] Département de Néphrologie Infantile, Hôpital Trousseau, Paris

来源：

PEDIATRIC NEPHROLOGY | 1990年 / 4卷 / 02期

关键词：

Arteriovenous fistulae; Haemodialysis; Microsurgery; Renal failure;

D O I：

10.1007/BF00858828

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Three hundred and eighty children underwent 434 angioaccesses. Of these angioaccesses, 113 were constructed in 74 children weighing under 10 kg. Most accesses (n=340) were distal arteriovenous fistulae (AVF). After microsurgery there was a 96% immediate patency. Seventy percent of AVF, excluding distal ulnarbasilic AVF, were functional, sometimes after secondary superficialization of the vein. Eighty-five per cent of the distal radial-cephalic AVF are still patent after 2 years, 60% are still patent after 4 years. These radial-cephalic AVF required 65 repeat anastomoses, and 12 ligations of the proximal-radial artery in order to reduce to 50% the high blood flow (pre-reduction average index = 900 ml/min per m2). The patency rate of arteriovenousbridge grafts was not encouraging. The severity of stenoses in the proximal-venous trunks, sometimes related to previous catheterization, is emphasized. Advantages of the radial-cephalic wrist AVF in children are highlighted. © 1990 IPNA.

引用

页码：156 / 159

页数：4

共 14 条

[1]

Brescia M.J., Cimino J.E., Appel K., Hurwich B.G., Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula, N Engl J Med, 275, pp. 1089-1091, (1966)

[2]

Broyer M., Loirat C., Gagnadoux M.F., Cukier J., Beurton D., Vacant J., “By-pass” et fistule arterio-veineuse en vue de l'hémodialyse chronique chez l'enfant, Arch Fr Pediatr, 30, pp. 145-161, (1973)

[3]

Gagnadoux M.F., Degoulet P., Pascal B., Bourquelot P., Kermarc'h C., Lauwers E., Loirat C., Broyer M., L'abord vasculaire chez l'enfant traité par hémodialyse périodique, Nephrologie, 12, pp. 935-944, (1978)

[4]

Sicard G., Merrell R., Etheredge E., Anderson C., Subcutaneous arteriovenous dialysis fistulas in pediatric patients, Trans Am Soc Artif Intern Organs, 24, pp. 695-698, (1978)

[5]

Coulonges S., Abords vasculaires pour hémodialyse chronique chez 23 enfants apport de la microchirurgie, (1978)

[6]

Bourquelot P., Wolfeler L., Lamy L., Microsurgery for haemodialysis distal arteriovenous fistulae in children weighing less than 10 kg, Proc Eur Dial Transplant Assoc, 18, pp. 537-540, (1981)

[7]

Kinnaert P., Janssen F., Hall M., Elbow arteriovenous fistula (EAVF) for chronic hemodialysis in small children, J Pediatr Surg, 18, pp. 116-119, (1983)

[8]

So S., Najarian J.S., Venous access for hemodialysis in children

[9]

right atrial cannulation, Manual of vascular access, organ donation and transplantation, pp. 27-36, (1984)

[10]

Yazbeck S., O'Regan S., Microsurgery for Brescia-Cimino fistula construction in pediatric patients, Nephron, 38, pp. 209-212, (1984)

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