Pediatric Nephrology

, Volume 28, Issue 6, pp 885–893

Practical aspects of arteriovenous fistula formation in the pediatric population

Educational Review

DOI: 10.1007/s00467-012-2328-0

Cite this article as:
Manook, M. & Calder, F. Pediatr Nephrol (2013) 28: 885. doi:10.1007/s00467-012-2328-0


The principle of “Fistula First” for hemodialysis has been widely adopted among adults with end-stage renal failure (ESRF). UK national targets aim to have 85 % of prevalent patients using permanent access (arteriovenous fistula or graft). Currently, hemodialysis in children relies heavily on central venous catheters (CVC). However, there is significant evidence that arteriovenous fistulae (AVF) are preferable for long-term dialysis in the pediatric population. We describe the principles of fistula formation including pre-operative work-up, surgical techniques for AVF creation, and post-operative monitoring.


Pediatric hemodialysisArteriovenous fistulaVascular accessArteriovenous access

Copyright information

© IPNA 2012

Authors and Affiliations

  1. 1.Renal Transplant & Vascular Access SurgeryGuy’s and The Evelina Hospitals, Great Ormond Street Hospital, LondonLondonUK