Vascular access challenges in hemodialysis children

ConclusionNative AVF is the preferred VA for pediatric HD but its creation is limited by the small sized vessels where non-cuffed CVC could be a reasonable relatively long-term alternative. Challenging situations (occluded central veins) could benefit from TH technique of CVC insertion in IVC.
Source: Italian Journal of Pediatrics - Category: Pediatrics Source Type: research