ENDOVASCULAR AV FISTULA SALVAGE IN PEDIATRIC PATIENTS: INITIAL EXPERIENCE AT IKDRC ITS

Dr. Ketul K Pathak; Dr. Nidhi Popat; Dr. Rahul Mehta; Dr. Shahenaz Kapadia; Dr. Kinnari Vala; Dr. Anshuman Saha; Dr. Shuvro H Roy Chaudhuri

Authors

Dr. Ketul K Pathak Assistant Professor, Interventional Radiology, Department of Radiology, Gujarat Cancer Research Institute, Ahmedabad. Author
Dr. Nidhi Popat Associate Professor, Department of Radiology, Institute of Kidney Diseases and Research Centre – Institute of Transplantation Sciences, Ahmedabad Author
Dr. Rahul Mehta Assistant Professor, Department of Radiology (Interventional radiology), Institute of Kidney Diseases and Research Centre – Institute of Transplantation Sciences, Ahmedabad Author
Dr. Shahenaz Kapadia Associate Professor, Department of Pediatric Nephrology, Institute of Kidney Diseases and Research Centre – Institute of Transplantation Sciences, Ahmedabad. Author
Dr. Kinnari Vala Associate Professor, Department of Pediatric Nephrology, Institute of Kidney Diseases and Research Centre – Institute of Transplantation Sciences, Ahmedabad. Author
Dr. Anshuman Saha Associate Professor, Department of Pediatric Nephrology, Institute of Kidney Diseases and Research Centre – Institute of Transplantation Sciences, Ahmedabad. Author
Dr. Shuvro H Roy Chaudhuri Director of Interventional Therapies, Department of Interventional Radiology, NH Group of Hospitals, India. Author

Keywords:

Arterio Venous Fistula, Chronic Kidney Disease, Hemodialysis, Transplantation.

Abstract

Early transplantation is the preferred treatment for children with end stage renal disease (ESRD); 30% of these patients still need hemodialysis (HD). In cases of arteriovenous fistula (AVF) failure, endovascular AVF salvage procedures hold promise for AVF salvage. These procedures have an established role in AVF failure in adult patients. In this study, we have performed similar endovascular AVF salvage procedures in pediatric patients and follow them for 1-year patency. Results showed, primary patency rate at 1-year post AVF salvage was 82%. We concluded that in pediatric patients, endovascular AVF salvage procedures help in case of AVF failure. It is helpful as preservation of a vascular access site and/or a bridge procedure until renal transplantation.