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Access for Dialysis and Apheresis

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Vascular Access in Neonates and Children

Abstract

Success of dialysis or apheresis is due to a large part to the good choice of vascular access. Indeed, for both dialysis and apheresis, the blood flow in the catheter should remain as laminar as possible so to maintain correct suction and reinjection pressures and reduce hemolysis. Optimal blood flow is directly related to the site of insertion, length, and diameter of the catheter. This chapter will summarize current recommendations for vascular access in children with renal failure requiring dialysis or affected by clinical conditions requiring apheresis.

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Bibliography

  1. Klouche K, Amigues L, Deleuze S, Beraud J-J, Canaud B. Complications, effects on dialysis dose, and survival of tunneled femoral dialysis catheters in acute renal failure. Am J Kidney Dis Off J Natl Kidney Found. 2007;49(1):99–108.

    Article  Google Scholar 

  2. Mendu ML, May MF, Kaze AD, Graham DA, Cui S, Chen ME, et al. Non-tunneled versus tunneled dialysis catheters for acute kidney injury requiring renal replacement therapy: a prospective cohort study. BMC Nephrol. 2017;1z8(1):351.

    Article  Google Scholar 

  3. Parienti J-J, Mégarbane B, Fischer M-O, Lautrette A, Gazui N, Marin N, et al. Catheter dysfunction and dialysis performance according to vascular access among 736 critically ill adults requiring renal replacement therapy: a randomized controlled study. Crit Care Med. 2010;38(4):1118–25.

    Article  Google Scholar 

  4. Rewa O, Bagshaw SM. Acute kidney injury—epidemiology, outcomes and economics. Nat Rev Nephrol. 2014;10(4):193–207.

    Article  CAS  Google Scholar 

  5. Schillinger F, Schillinger D, Montagnac R, Milcent T. Post catheterisation vein stenosis in haemodialysis: comparative angiographic study of 50 subclavian and 50 internal jugular accesses. Nephrol Dial Transplant Off Publ Eur Dial Transpl Assoc—Eur Ren Assoc. 1991;6(10):722–4.

    CAS  Google Scholar 

  6. Van Vong L, Osman D, Vinsonneau C. Groupe d’experts. Épuration extrarénale en réanimation adulte et pédiatrique. Recommandations formalisées d’experts sous l’égide de la Société de réanimation de langue française (SRLF), avec la participation de la Société française d’anesthésie-réanimation (SFAR), du Groupe francophone de réanimation et urgences pédiatriques (GFRUP) et de la Société francophone de dialyse (SFD). Réanimation. 2014;23(6):714–37.

    Article  Google Scholar 

  7. Vazquez MA. Vascular access for dialysis: recent lessons and new insights. Curr Opin Nephrol Hypertens. 2009;18(2):116–21.

    Article  Google Scholar 

  8. Vesely TM, Ravenscroft A. Hemodialysis catheter tip design: observations on fluid flow and recirculation. J Vasc Access. 2016;17(1):29–39.

    Article  Google Scholar 

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Correspondence to Pierre Tissières .

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Torterüe, X., Tissières, P. (2022). Access for Dialysis and Apheresis. In: Biasucci, D.G., Disma, N.M., Pittiruti, M. (eds) Vascular Access in Neonates and Children. Springer, Cham. https://doi.org/10.1007/978-3-030-94709-5_19

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  • DOI: https://doi.org/10.1007/978-3-030-94709-5_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-94708-8

  • Online ISBN: 978-3-030-94709-5

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