Transplantation is the renal replacement therapy of choice for
children with end-stage renal disease (ESRD) [1]. The most
commonly used modality while awaiting a kidney transplant
is hemodialysis, rather than peritoneal dialysis, according to
the United States Renal Data System [2, 3]. As per European
and North American guidelines for pediatric ESRD, early
planning is recommended if patients are not anticipated to
undergo peritoneal dialysis or receive a transplant within
6 months. Patients are referred to a vascular surgeon, where
the choice of appropriate vascular access (VA) for hemodialysis,
whether arteriovenous fistula (AVF) or central venous
catheter (CVC), becomes crucial [4–8].