FACTORS INFLUENCING EARLY PRIMARY PATENCY OF AV FISTULA IN PEDIATRIC PATIENTS WITH CHRONIC KIDNEY DISEASE.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 10
Abstract
Background: Arteriovenous fistulae (AVF) are the dialysis access modality of choice for patients with end stage renal disease (ESRD). The longer maturation time in children than that in adults and the technical difficulties imposed by small diameters of the vessels are other reasons for a reluctance to create AVFs in children. Methods: Data abstracted included age, weight, sex, etiology of renal failure, time on dialysis, CVC history, and transplantation history. Patients of age 0 to 15 were included in this study, age was the only inclusion criteria. Results: Pre operative and prior vene puncture was present in (80%) patients with primary failure. Greater than 1 previous access failure strong predictor of failure. Surprisingly absence of prior HD was favoring early failure. Intraoperatively poor vein distension( <2mm) and post operative Doppler showing absence of spiral laminar flow also predicted early failure in 100% of the patients. Conclusion: anatomic factors like vein distension, prior venepuncture highly influence the patency rates. anemia, hypertension and HD benefitted in maintaining patency. proper education of the medical fraternity dealing with peadiatric renal failure patients regarding these factor will help in long term functioning of the fistulas and survival.
Authors and Affiliations
M. Bakthavatchalam, Sasikumar Sakthivelan, Jayakrishnan Ramakrishnan.
Keywords
Related Articles
- EP ID EP409587
- DOI 10.21474/IJAR01/7825
- Views 65
- Downloads 0
UCHAMBUZI WA KISIMIOTIKI WA MISEMO YA KWENYE MAKAWA YA ZANZIBAR.
International Journal of Advanced Research (IJAR)
KNOWLEDGE OF TEACHERS AND PARENTS ABOUT EMERGENCY MANAGEMENT OF DENTAL TRAUMA IN CHILDREN.
Introduction: Traumatic dental injuries (TDI) are frequent in children and adolescents, affecting teeth, supporting structures and adjacent soft tissues and contributing to the appearance of major psychosocial and econom...
NEST STRUCTURE AND NESTING ECOLOGY OF FERAL PIGEON (COLUMBA LIVIA) IN NANDED, MAHARASHTRA STATE.
Feral pigeon Columba livia is one of the common bird species inhabiting in manmade structures though it may go for feeding away from nesting places. Cement concrete made buildings in use for Govt. departmental offices, e...
HOUR-GLASS CONSTRICTION OF STOMACH - A CADAVERIC STUDY WITH SURGICAL EXPLANATION.
Background and Objectives: Hour-glass stomach can be described as a narrowing in the lumen of stomach due to contraction of its body wall. The aim of the present study is to relate the anatomical findings of hour glass s...
COLLATION OF SCAPULAR PROPRIOCEPTIVE NEURO-MUSCULAR FACILITATION AND SCAPULAR MOBILIZATION WITH MOVEMENT IN ADHESIVE CAPSULITIS PATIENTS.
Introduction:Adhesive-Capsulitis is a self-limiting condition of unknown etiology characterized by painful and stiff shoulder range of motion(ROM); with scapular dyskinesis. The treatment of Adhesive-Capsulitis aims at r...