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Published in: Pediatric Nephrology 12/2012

01-12-2012 | Brief Report

Immediate use of an arteriovenous prosthetic graft for life-saving dialysis in a child

Authors: Chiara Grimaldi, Alessandro Crocoli, Lara De Galasso, Stefano Picca, Gian Luigi Natali, Jean De Ville De Goyet

Published in: Pediatric Nephrology | Issue 12/2012

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Abstract

Background

Autologous arteriovenous fistulas (AVFs) are the current gold standard for vascular access in hemodialysis (HD). However, in pediatric patients, specific clinical settings may contraindicate the procedure, thus mandating the use of a prosthetic graft (PG).

Case-Diagnosis/Treatment

We report a case of successful polycarbonate urethane graft implantation and subsequent resumption of HD 12 h after the procedure in a young girl with end-stage renal disease (ESRD), challenging vascular anatomy and the absence of vascular access.

Conclusions

The use of polycarbonate urethane PGs in children with ESRD and difficult vascular accesses may represent a valid alternative for early resumption of HD.
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Metadata
Title
Immediate use of an arteriovenous prosthetic graft for life-saving dialysis in a child
Authors
Chiara Grimaldi
Alessandro Crocoli
Lara De Galasso
Stefano Picca
Gian Luigi Natali
Jean De Ville De Goyet
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Pediatric Nephrology / Issue 12/2012
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-012-2247-0

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