title: Creation of a novel hemodialysis bridge graft to extend the life of an adolescent.
abstract: All conventional dialysis access options were exhausted in a 19-year-old girl with end-stage renal disease (ESRD). Her course was medically and psychosocially complicated. To save her life, a subclavian artery to right atrium hemodialysis bridge graft was created so that she could be dialyzed successfully. Adolescents and young adults confronted with the exhaustion of dialysis access and transplant options face extremely difficult management decisions. Attention to the multi-disciplinary needs of these patients and a combined effort by medical, surgical, psychological, and social work teams are necessary to address properly these dilemmas.
authors.affiliation: Division of Nephrology, Department of Pediatrics, The Children's Hospital of Philadelphia and the University of Pennsylvania, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA.
authors.forename: Ann E
authors.initials: AE
authors.lastname: Salerno
authors.forename: Cynthia
authors.initials: C
authors.lastname: Green
authors.forename: Nataliya
authors.initials: N
authors.lastname: Zelikovsky
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Gruber
authors.forename: Andrew
authors.initials: A
authors.lastname: Lodge
authors.forename: Kevin E C
authors.initials: KE
authors.lastname: Meyers
authors.forename: Bernard S
authors.initials: BS
authors.lastname: Kaplan
mesh_terms: D000293:Adolescent; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D006435:Renal Dialysis / Q000295:instrumentation*; D013348:Subclavian Artery / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*