Renal Transplant & Vascular Access Surgery, Guy's and The Evelina Hospitals, Great Ormond Street Hospital, London, London, UK.
Pediatr Nephrol. 2013 Jun;28(6):885-93. doi: 10.1007/s00467-012-2328-0. Epub 2012 Oct 27.
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.
“瘘优先”原则已被广泛应用于终末期肾衰竭（ESRF）的成年患者。英国国家目标旨在使 85%的现有患者使用永久性通路（动静脉瘘或移植物）。目前，儿童血液透析主要依赖于中心静脉导管（CVC）。然而，有大量证据表明，在儿科人群中，动静脉瘘（AVF）更适合长期透析。我们描述了瘘管形成的原则，包括术前检查、AVF 建立的手术技术和术后监测。
