We reported on the first chronic VA used for initiating
hemodialysis. The choice of VA is determined for each patient
after discussion with the family and multidisciplinary team
with a view to long-term preservation of the vascular network.
Whenever possible, the transition from chronic kidney disease
care to ESRD care is facilitated with parents and patients
educated early on, transplant candidates listed, pre-emptive
renal transplant promoted, living kidney donors identified,
and orchestration between recipients and donor teams, all
coincident with VA creation.