Journal article
Constant Site Hemodialysis in the Pediatric Population: Successful use of VWINGs in Three Patients
Transformative Medicine, v 2(2), pp 33-39
27 Jun 2023
Abstract
Introduction: Reliable vascular access for hemodialysis is challenging in the pediatric population. The Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah) is an implanted surgical device that allows for constant site access but has not been reported in pediatric patients. Case description: Three patients under 18 years of had a brachiobasilic fistula created with a minimum of 6 weeks for fistula maturation prior to VWING placement. This paper describes the management of constant site dialysis using VWING as well as strategies used for successful long-term management. Patients include a 15-year-old male with end-stage renal disease (ESDR) secondary to hemolytic uremic syndrome (HUS), a 14-year-old female with ESRD secondary to systemic lupus, and a 17-year-old female with ESRD secondary to rapidly progressive glomerulonephritis. All three patients had successful placement of VWING allowing for improved AVF access for dialysis for several years. Conclusion: In our limited experience with VWINGs in the pediatric population, we have demonstrated a successful method of long-term constant-site dialysis using VWING as an adequate alternative to other interventions for difficult-to-access arteriovenous fistulas (AVFs).
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Details
- Title
- Constant Site Hemodialysis in the Pediatric Population: Successful use of VWINGs in Three Patients
- Creators
- Jordy Salcedo-GiraldoMaxwell KilcoyneChi Chi Do-NguyenAchintya MoulickSusan ConleyPaul BradyVicki MahanRandy Stevens
- Publication Details
- Transformative Medicine, v 2(2), pp 33-39
- Publisher
- Tower Health
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Other Identifier
- 991021463565504721