Division of Pediatric Surgery, Bruce M. Henderson Chair in Pediatric Surgery, Head, Divisions of Pediatric Surgery, Urology and Transplantation, Surgical Director, Pediatric Surgery and Transplantation, Driscoll Children's Hospital, 3533 S. Alameda St, Suite 302, Corpus Christi, TX 78411, USA.
Division of Pediatric Surgery, Driscoll Children's Hospital, 3533 S. Alameda St, Corpus Christi, TX 78411, USA.
Semin Pediatr Surg. 2021 Dec;30(6):151121. doi: 10.1016/j.sempedsurg.2021.151121. Epub 2021 Nov 16.
Pediatric hemodialysis access is a demanding field. Procedures are infrequent, technically challenging, and associated with high complication and failure rates. Each procedure affects subsequent access and transplants sites. The choice is made easier and outcomes improved when access decisions are made by a multidisciplinary, pediatric, hemodialysis access team. This manuscript reviews the current literature and offers technical suggestions to improve outcomes.
儿科血液透析通路是一个要求很高的领域。手术频率低、技术难度大，且并发症和失败率高。每次手术都会影响后续的通路和移植部位。当由多学科、儿科血液透析通路团队做出决策时，选择会更容易，结果也会得到改善。本文回顾了当前的文献，并提供了一些技术建议，以提高治疗效果。
