Koo Kevin S H, Monroe Eric J, Reis Joseph, Shivaram Giridhar M, Munshi Raj
Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.
Division of Pediatric Nephrology, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.
Radiol Case Rep. 2020 Dec 17;16(3):441-447. doi: 10.1016/j.radcr.2020.12.026. eCollection 2021 Mar.
This retrospective, single center, case report describes the first use of the Ellipsys Vascular Access System for percutaneous arteriovenous fistula (pAVF) creation in children. Two adolescent (<20 year of age) patients (18 and 19-year-old females), one of whom was developmentally delayed, were not considered candidates for traditional surgical arteriovenous fistula creation. pAVF creation was successful in both patients using the Ellipsys device and physiologic maturation of the fistula was achieved within 8 weeks of creation with subsequent 2 needle cannulation. No complications or adverse events were encountered. pAVF creation with the Ellipsys device can be safely performed in adolescents. Further studies will be needed to validate the expanded use of these devices in children.
本回顾性单中心病例报告描述了首次使用Ellipsys血管通路系统为儿童创建经皮动静脉内瘘（pAVF）的情况。两名青少年（年龄<20岁）患者（18岁和19岁女性），其中一名发育迟缓，被认为不适合进行传统的外科动静脉内瘘创建手术。使用Ellipsys装置在两名患者中成功创建了pAVF，并且在创建后的8周内实现了内瘘的生理性成熟，随后进行了双针穿刺。未遇到并发症或不良事件。使用Ellipsys装置为青少年安全地创建pAVF是可行的。需要进一步的研究来验证这些装置在儿童中的广泛应用。
