Abstract

Vascular Access for Hemodialysis in A Pediatric Population. A Review of Cases in Two Hemodialysis Centers in Yaounde Cameroon

Author(s): Marc Leroy Guifo*, Martial Dongmo Tsiazok l, Aristide Eric Tamto Nono, Vanessa Sylvia Santerre, Francois Tchokouaha Ngeugoue, Maimouna Mahamat, Victorine Nzana, Francois Jerome Folefack Kaze

Background: End Stage Kidney Disease (ESKD) patients need a form of renal replacement therapy among which hemodialysis. Vascular access is an essential suscess factor in this repetitive and sometimes life long therapy. In paediatric population construction of a vascular access faces some specific constraint and the objective of this study is to report the experience on a cohort of ESKD in two hemodialysis centers in Yaoundé Cameroon.

Materials and methods: We retrospectively review all the patients who build their fistula or were on hemodialysis under 16 year age in Yaoundé General Hospital (HGY) and University Hospital Center (CHU). The socio-demographic data and all pertinent clinical informations were recorded and analysed.

Results: We study 19 patients ; 8 from CHU and 11 from HGY. The mean age was 13 years at the initiation of dialysis. The main aetiology of renal failure was chronic glomerulonephritis follow far away by obstuctive uropathy in two cases and one case of lupus erythematosis. The success rate of fistula creation was 69.5%. The mean number of central venous catheter use before AV fistula was 1.9.

Conclusion: The Vascular access by AV fistula since his developpment has provide relief to the patients with ESKD. It is both successful in distal and proximal location on the forearm in pediatric population but there is a need to clinical evaluation on an individual base. Use of magnifying glass may be an advantage.