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

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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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Authors and Affiliations

  1. Department of Paediatric Surgery and Transplantation, Bambino Gesù Children’s Hospital, IRCCS, Piazza San Onofrio 4, 00165, Rome, Italy

    Chiara Grimaldi, Alessandro Crocoli & Jean De Ville De Goyet

  2. Department of Nephrology and Urology, Bambino Gesù Children’s Hospital, IRCCS, Piazza Sant’Onofrio 4, 00165, Rome, Italy

    Lara De Galasso & Stefano Picca

  3. Department of Paediatric Surgery and Transplantation Center, Bambino Gesù Children’s Hospital, IRCCS, Piazza San Onofrio 4, 00165, Rome, Italy

    Gian Luigi Natali

Authors
  1. Chiara Grimaldi
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  2. Alessandro Crocoli
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  3. Lara De Galasso
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  4. Stefano Picca
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  5. Gian Luigi Natali
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  6. Jean De Ville De Goyet
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Corresponding author

Correspondence to Alessandro Crocoli.

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Grimaldi, C., Crocoli, A., De Galasso, L. et al. Immediate use of an arteriovenous prosthetic graft for life-saving dialysis in a child. Pediatr Nephrol 27, 2311–2313 (2012). https://doi.org/10.1007/s00467-012-2247-0

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  • DOI: https://doi.org/10.1007/s00467-012-2247-0

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