[Arteriovenous fistula for vascular access in childhood leukemia. Value of microsurgical technique (author's transl)]. 1981

J S Valla, and J M Maréchal, and A Gelet, and P Dubernard, and D Louis, and G Souillet, and P Mollard

Acute leukemia are now in progress with intensive and prolonged polychimiotherapy but such medicine is difficult to manage because veins are rapidly unserviceable. In order to simplify hematological treatment and psychological approach of this patients we have constructed arterio-venous fistula in children with malignancy. The operation of choice is a subcutaneous cephalic-vein to-radial-artery arterio-venous fistula on the fore arm at the distal part. 103 of this vascular access procedures are performed in 93 children and in infants weighing less than 10 kg: 57 are performed without magnification, 46 with the aid of operative microscope. The comparative study of this two procedures show that microsurgical technique is necessary to improve results, especially in the youngest patients. This vascular access are well accepted by the children and his families, and very useful for the medical staff.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007938 Leukemia A progressive, malignant disease of the blood-forming organs, characterized by distorted proliferation and development of leukocytes and their precursors in the blood and bone marrow. Leukemias were originally termed acute or chronic based on life expectancy but now are classified according to cellular maturity. Acute leukemias consist of predominately immature cells; chronic leukemias are composed of more mature cells. (From The Merck Manual, 2006) Leucocythaemia,Leucocythemia,Leucocythaemias,Leucocythemias,Leukemias
D008297 Male Males
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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