Difficult Dialysis Access in Four Years Old Child: The Hope to Survive

Esmael Ali Hamed

Vascular and Endovascular Surgery Consultant, Mansoura New General Hospital (International) and Head of Vascular Surgery Department at Mansoura Health Insurance Hospital, Mansoura, Egypt

Dr. Esmael Ali Hamed, Vascular and Endovascular Surgery Consultant, Mansoura New General Hospital (International) and Head of Vascular Surgery Department at Mansoura Health Insurance Hospital, Mansoura, Egypt.

Keywords: Dialysis Access; Dialysis Catheter; Femoral Vein; Ballooning; Chronic Kidney Disease; Hemodialysis

Abstract

Functioning vascular access (VA) is our target to build an efficient hemodialysis procedure [1,2]. There are three main types of access: autogenous access (AVF), catheters and arteriovenous graft, AVF remains the first choice for HD and was described by Cimino [3]. Prosthetic fistulae become the second option of HD access. Catheters are the latest alternative option [4,5].
VA maintenance requires integration of different professionals to create a team. They should provide their experience in order to give the best options to uremic patients and the best care for their VA [6].

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