Pediatric hemodialysis access

P Stephen Almond; Mohammad A Emran; Shannon M Koehler; Samhar I Al-Akash

doi:10.1016/j.sempedsurg.2021.151121

Pediatric hemodialysis access

Semin Pediatr Surg. 2021 Dec;30(6):151121. doi: 10.1016/j.sempedsurg.2021.151121. Epub 2021 Nov 16.

Authors

P Stephen Almond¹, Mohammad A Emran², Shannon M Koehler², Samhar I Al-Akash³

Affiliations

¹ Division of Pediatric Surgery, Bruce M. Henderson Chair in Pediatric Surgery, Head, Divisions of Pediatric Surgery, Urology and Transplantation, Surgical Director, Pediatric Surgery and Transplantation, Driscoll Children's Hospital, 3533 S. Alameda St, Suite 302, Corpus Christi, TX 78411, USA. Electronic address: stephen.almond@dchstx.org.
² Division of Pediatric Surgery, Driscoll Children's Hospital, 3533 S. Alameda St, Corpus Christi, TX 78411, USA.
³ Division of Pediatric Nephrology, Adjunct Professor of Pediatrics, Texas A&M University College of Medicine, Head of Nephrology, Medical Director, Dialysis and Renal Transplantation, Driscoll Children's Hospital, 3533 S. Alameda St, Corpus Christi, TX 78411, USA.

PMID: 34930591
DOI: 10.1016/j.sempedsurg.2021.151121

Abstract

Pediatric hemodialysis access is a demanding field. Procedures are infrequent, technically challenging, and associated with high complication and failure rates. Each procedure affects subsequent access and transplants sites. The choice is made easier and outcomes improved when access decisions are made by a multidisciplinary, pediatric, hemodialysis access team. This manuscript reviews the current literature and offers technical suggestions to improve outcomes.

Keywords: Arteriovenous fistula; Arteriovenous graft; Catheter related blood stream infections; Complications; Hemodialysis; Outcomes; Pediatric; Vascular access.

MeSH terms

Child
Humans
Renal Dialysis*
Renal Insufficiency* / therapy