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Tytuł pozycji:

Buttonhole needling of haemodialysis arteriovenous fistulae results in less complications and interventions compared to the rope-ladder technique

Tytuł :
Buttonhole needling of haemodialysis arteriovenous fistulae results in less complications and interventions compared to the rope-ladder technique
Index Terms :
Adult
Aged
Kidney Failure, Chronic - therapy
Male
Middle Aged
Needles
Renal Dialysis - adverse effects, methods
Aged, 80 and over
Aneurysm - etiology
Arteriovenous Shunt, Surgical - adverse effects, methods
Catheterization - methods
Female
Follow-Up Studies
Hematoma - etiology
Humans
info:eu-repo/semantics/article
Wydawca :
Oxford University Press 2010
Dodane szczegóły :
UCL - (SLuc) Service de néphrologie
van Loon, Magda M
Goovaerts, Tony
Kessels, Alfons G H
van der Sande, Frank M
Tordoir, Jan H M
Typ dokumentu :
Zasób elektroniczny
URL :
http://hdl.handle.net/2078.1/113598">http://hdl.handle.net/2078.1/113598
Dostępność :
Open access content. Open access content
info:eu-repo/semantics/restrictedAccess
Pozostałe numery :
UCDLC oai:dial.uclouvain.be:boreal:113598
960554048
Źródło wspomagające :
UNIVERSITE CATHOLIQUE DE LOUVAIN
From OAIster®, provided by the OCLC Cooperative.
Numer akcesji :
edsoai.ocn960554048
Zasób elektroniczny
BACKGROUND: The rope-ladder puncture technique, with cannulation along the whole length of the vessel traject, has been very common in haemodialysis patients with autogenous arterio-venous fistula (AVF). Today's dialysis population with AVF may exhibit difficult cannulation, because of a short vein length or a complicated cannulation route. An alternative needling possibility is the buttonhole (BH) technique, which inserts needles at exactly the same location during every dialysis session. The present study was conducted to investigate the effect of both cannulation techniques on the incidence of vascular access (VA) complications. METHODS: A total of 75 prevalent haemodialysis patients with autogenous AVF using the BH technique were compared with 70 patients using the rope-ladder technique. The following parameters were registered: haematoma occurrence, redness, swelling, aneurysm formation, the use of sharp or dull needles, miscannulations, and interventions. Needling pain and fear of puncture were assessed using a verbal rating scale (VRS). The duration of the follow-up was 9 months. RESULTS: Patients in the BH group had more unsuccessful cannulations, compared with the rope-ladder method (P < 0.0001), but the frequency of haematoma (P < 0.0001) and aneurysm formation (P < 0.0001) was less. In addition, intervention such as angioplasty (P < 0.0001) was higher in patients using the rope-ladder technique. A negative outcome of the BH technique was the higher incidence of access infections compared to the rope-ladder method. CONCLUSION: This study showed that the BH method is a valuable technique with few complications like haematoma, aneurysm formation and the need for interventions. However, the infections induced by the BH method should not be underestimated. This underlines the importance of an aseptic and correct technique of the buttonhole procedure.

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