Vascular access challenges in hemodialysis children.
Doaa M SalahFatina I FadelMohamed A Abdel MawlaHesham NAbdel MootyMohamed El GhobashyAmr M SalemMohamed Gamal FathallahEman Abobakr Abd AlazemPublished in: Italian journal of pediatrics (2024)
Native 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.