Disadvantages are high infection
rates, dysfunction, poor flow, damage to VA, stenosis, and
thrombosis [9].
In adults as well as in children, the National
Kidney Foundation - Kidney Disease Outcomes Quality Initiative
(NKF-KDOQI) clinical practice guidelines [10] and
other initiatives [11] have promoted AVF over CVC, as AVF
has been associated with a better quality of life and improved
outcomes. Nonetheless, in practice, pediatric nephrologistsstill favor CVCs for shorter-term dialysis, resulting in increased
morbidity when used longer term