title: Immediate use of an arteriovenous prosthetic graft for life-saving dialysis in a child.
abstract: BACKGROUND
  Autologous arteriovenous fistulas (AVFs) are the current gold standard for vascular access in hemodialysis (HD). However, in pediatric patients, specific clinical settings may contraindicate the procedure, thus mandating the use of a prosthetic graft (PG).
  
  
  METHODS
  We report a case of successful polycarbonate urethane graft implantation and subsequent resumption of HD 12 h after the procedure in a young girl with end-stage renal disease (ESRD), challenging vascular anatomy and the absence of vascular access.
  
  
  CONCLUSIONS
  The use of polycarbonate urethane PGs in children with ESRD and difficult vascular accesses may represent a valid alternative for early resumption of HD.
authors: Department of Paediatric Surgery and Transplantation, Bambino Gesù Children's Hospital, IRCCS, Piazza San Onofrio 4, 00165, Rome, Italy.
authors: Chiara
authors: C
authors: Grimaldi
authors: Alessandro
authors: A
authors: Crocoli
authors: Lara
authors: L
authors: De Galasso
authors: Stefano
authors: S
authors: Picca
authors: Gian Luigi
authors: GL
authors: Natali
authors: Jean
authors: J
authors: De Ville De Goyet
mesh_terms: D001166:Arteriovenous Shunt, Surgical; D019917:Blood Vessel Prosthesis Implantation; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D011108:Polymers; D006435:Renal Dialysis / Q000379:methods*; D014520:Urethane
chemical_list: D011108:Polymers; C017902:lexan; D014520:Urethane