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Venous Access for Hemodialysis in Children: Right Atrial Cannulation

  • Samuel K. S. So
Part of the Comprehensive Manuals of Surgical Specialties book series (CMSS)

Abstract

During the past decade an increasing number of infants and young children have been accepted for hemodialysis and renal transplantation. In 1976 Mauer and Lynch1 reported hemodialysis of more than 150 infants and children. Until recently vascular access for children weighing less than 10 kg often required placement of an antecubital or groin external arteriovenous (A-V) shunt, or groin bridge grafts.2–4 Not only did these access devices predispose to limb ischemia and local infection, but they also destroyed proximal vessels invaluable for construction of chronic access. Alternatively, these small children were placed on peritoneal dialysis. At the University of Minnesota, the silastic Hickman catheter with an internal diameter of 1.6 mm has replaced all other forms of access for temporary or even long-term dialysis vascular access of young children weighing less than 13 kg.5,6 A shorter and larger bore catheter with an internal diameter of 2 mm (the Nevins catheter) appears to be a further improvement in providing dialysis access in children weighing less than 20 kg.7

Keywords

Venous Access External Jugular Vein Subcutaneous Tunnel Exit Wound Platysma Muscle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Mauer SM, Lynch RE: Hemodialysis techniques for infants and children. Pediatr Clin North Am 23: 843, 1976.PubMedGoogle Scholar
  2. 2.
    Buselmeier TJ, Santiago EA, Simmons RL, Najarian JS, Kjellstrand CM: Arteriovenous shunts for pediatric hemodialysis. Surgery 70: 638, 1971.PubMedGoogle Scholar
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    Robinson HB, Wenzel JE, Williams GR: Internal vascular access for hemodialysis in children weighing less than fifteen kilograms. Surgery 85: 525, 1979.PubMedGoogle Scholar
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    Applebaum H., Shashikumar VL, Somers LA, Balnante HJ, Gruskin AB, McGarvey MJ, Weintraub WH: Improved hemodialysis access in children. J Pediatr Surg 15: 764, 1980.PubMedCrossRefGoogle Scholar
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    Mahan JD Jr, Mauer SM, Nevins TE: The Hickman catheter—a new hemodialysis access device for infants and small children. Kidney Int 24: 694, 1983.PubMedCrossRefGoogle Scholar
  6. 5.
    Mahan JD Jr, Mauer SM, Nevins TE: The Hickman catheter—a new hemodialysis access device for infants and small children. Kidney Int 24: 694, 1983.PubMedCrossRefGoogle Scholar
  7. 7.
    Nevins TE: A new Hickman catheter for hemodialysis (HD) access in children. ASAIO, 1984 ( Abstract).Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1984

Authors and Affiliations

  • Samuel K. S. So

There are no affiliations available

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