[110 surgical arteriovenous fistulas in 89 children].
110 arteriovenous fistulas made for hemodialysis, chemotherapy and extended parenteral nutrition are studied. For authors, the side-end radial arteriovenous fistula is the main used, followed by the humero-basilic shunt. The immediately functional fistula's percentage was of 81% with a net progress in the last year since it is now at 92%. Thrombosis prevails in early complications. 32% of delayed complications are minutely studied. They include thrombosis, infections, trophic disturbance of hands, secondary stenosis, hyper-flow with cardiac consequences. Others more unusual delayed complications are described ("Stealing" syndrome, no venous distention, bleeding, pseudo-aneurysm). The authors advice the side-end arteriovenous fistula for hemodialysis and humero-basilic shunt with immediately basilic superficialization for infant's hemodialysis, for chemotherapy and parenteral nutrition.
D000293:Adolescent; D000970:Antineoplastic Agents / Q000008:administration & dosage; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007383:Intermittent Claudication / Q000209:etiology; D008866:Microsurgery; D010289:Parenteral Nutrition, Total; D010956:Plasmapheresis; D006435:Renal Dialysis; D018805:Sepsis / Q000209:etiology; D013927:Thrombosis / Q000209:etiology
D000970:Antineoplastic Agents
Etude de 110 fistules artério-veineuses chirurgicales chez 89 enfants.