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Journal of Vascular Access

Ahmed Hussieny Elbarbary
OBJECTIVE: Lipectomy is an acceptable method of cephalic vein superficialization in hemodialysis arteriovenous fistula. However, limiting it to be a secondary procedure may prolong time between fistula creation and successful cannulation posing more risk of central venous catheter use. AIM: The aim of this study is to evaluate primary surgical lipectomy performed at the time of arteriovenous fistula creation in comparison with secondary lipectomy. PATIENTS AND METHODS: Between June 2015 and January 2017, 59 adult end-stage renal disease patients were allocated non-randomly to group I, 35 patients had arteriovenous fistula with primary lipectomy of forearm or arm deep cephalic veins, and group II, 24 patients who had secondary lipectomy of deep forearm or arm cephalic veins after primary arteriovenous fistula...
October 28, 2018: Journal of Vascular Access
Rogerio da Hora Passos, Michel Ribeiro, Luis Filipe Miranda Rebelo da Conceição, Joao Gabriel Rosa Ramos, Juliana Caldas Ribeiro, Paulo Benigno Pena Batista, Margarida Maria Dantas Dutra, Jean Jacques Rouby
BACKGROUND: In patients with end-stage renal disease, the use of cuffed, tunneled dialysis catheters for hemodialysis has become integral to treatment plans. Fluoroscopy is a widely accepted method for the insertion and positioning of cuffed dialysis catheters, because it is easy to use, accurate and reliable, and has a relatively low incidence of complications. The purpose of our study was to evaluate the feasibility of tunneled hemodialysis catheter placement without the use of fluoroscopy but with a dynamic ultrasound-imaging-based guided technique...
October 25, 2018: Journal of Vascular Access
Chun-Fan Chen, Fu-An Chen, Tsung-Lun Lee, Li-Feng Liao, Cheng-Yen Chen, Ann Charis Tan, Chia-Hao Chan, Chih-Ching Lin
Due to the implementation of the National Health Insurance system in 1995, the number of patients receiving maintenance dialysis has increased rapidly. This contributed to Taiwan to be in an unfortunate position of possessing the highest prevalence of end-stage renal disease globally. Although the age-standardized incidence of end-stage renal disease gradually decreased to -1.1% in 2014, the huge economic burden that comes with dialysis is detrimental to the quality of dialysis treatment. To achieve a balance between economy and quality of care requires multidisciplinary cooperation...
October 25, 2018: Journal of Vascular Access
Samantha J McEwan, Hannah Maple, Paul J Gibbs
INTRODUCTION: Definitive access in patients requiring renal replacement therapy is an ever-increasing challenge. For those where autogenous venous access is no longer a viable option, arteriovenous grafts can be considered. This article describes long-term follow-up, complications and patency rates of the mid-thigh 'adductor loop' arteriovenous graft. METHODS: 50 mid-thigh loop arteriovenous grafts have been inserted into 48 patients in our unit over the past 11 years...
October 22, 2018: Journal of Vascular Access
Mathijs van Oevelen, Alferso C Abrahams, Marcel C Weijmer, Tjerko Nagtegaal, Friedo W Dekker, Joris I Rotmans, Sabine Ca Meijvis
BACKGROUND: The main limitations of central venous catheters for haemodialysis access are infections and catheter malfunction. Our objective was to assess whether precurved non-tunnelled central venous catheters are comparable to tunnelled central venous catheters in terms of infection and catheter malfunction and to assess whether precurved non-tunnelled catheters are superior to straight catheters. MATERIALS AND METHODS: In this retrospective, observational cohort study, adult patients in whom a central venous catheter for haemodialysis was inserted between 2012 and 2016 were included...
October 21, 2018: Journal of Vascular Access
Mauro Pittiruti, Giancarlo Scoppettuolo, Laura Dolcetti, Alessandro Emoli
INTRODUCTION: Intracavitary electrocardiogram technique is recognized as a safe, accurate, and inexpensive method for verifying the tip location of central venous access devices. While the technique can be carried out with any standard electrocardiogram monitor, dedicated electrocardiogram monitors specifically designed for the intracavitary electrocardiogram are also available. One of these dedicated monitors is Sherlock-3CG® , characterized by the integration of a magnetic-based tip navigation method with an electrocardiogram-based tip location method...
October 18, 2018: Journal of Vascular Access
Salia Farrokh, Sung-Min Cho, Austen T Lefebvre, Elizabeth K Zink, Adam Schiavi, Hans A Puttgen
BACKGROUND: Rapid administration of hypertonic saline 23.4% is crucial in treatment of herniation syndromes. Hypertonic 23.4% saline must be administered via a central line. In cases where central line access is difficult to obtain and leads to delay in therapy, placement of intraosseous access can be lifesaving. Main body: The purpose of this case series is to describe the use of intraosseous administration of 23.4% saline in critically ill patients and to assess feasibility. CONCLUSION: Intraosseous administration of 23...
October 17, 2018: Journal of Vascular Access
Masaki Muramatsu, Toshihide Mizutani, Kei Sakurabayashi, Maho Maeda, Takashi Yonekura, Hiroshi Nihei, Yoji Hyodo, Kazunobu Shinoda, Seiichiro Shishido, Ken Sakai
Aneurysm of autogenous arteriovenous fistula is a common complication in patients receiving hemodialysis. We present a novel method for repair of a case of aneurysm of arteriovenous fistula resulting from stenosis. A 52-year-old woman presented with aneurysm formation of the left upper arm arteriovenous fistula, with related numbness in the left hand. Clinical examination revealed a tense, pulsatile aneurysm above the brachiocephalic anastomosis. Ultrasound examination revealed an aneurysm (50 mm × 25 mm) with proximal stenosis and an arteriovenous fistula flow rate above 1200 mL/min...
October 16, 2018: Journal of Vascular Access
Eric Ladenheim
No abstract text is available yet for this article.
October 16, 2018: Journal of Vascular Access
Giuseppe Civetta, Sergio Cortesi, Mattia Mancardi, Antonella De Pirro, Marta Vischio, Marco Mazzocchi, Luigia Scudeller, Andrea Bottazzi, Giorgio A Iotti, Alessandra Palo
INTRODUCTION: Providing peripheral intravenous access is one of the most commonly performed technical procedures in hospitals and it is mandatory for all patients undergoing surgery. Obtaining peripheral intravenous access may be difficult and this may cause delays in patient management, increased risk of adverse events and hospitalization costs. The aim of this study is to develop and validate a scale to identify patients at risk of peripheral difficult intravenous access, applicable to any adult patient undergoing surgery...
October 16, 2018: Journal of Vascular Access
Joel Crawford, Angela Kokkosis, Pamela Kim, Antonios Gasparis, Nicos Labropoulos
INTRODUCTION: Sheath placement in dialysis access interventions is traditionally necessary to obtain imaging, guide percutaneous angioplasty, and evaluate results. The aim of this study was to assess the feasibility of performing sheathless Arterio-venous (AV) access interventions using a novel percutaneous angioplasty balloon catheter. METHODS: Between May and September 2017, data on all dialysis access interventions using a novel percutaneous angioplasty balloon with a dedicated injection port were collected...
October 14, 2018: Journal of Vascular Access
Eyal Barzel, John W Larkin, Allen Marcus, Marta M Reviriego-Mendoza, Len A Usvyat, Murat Sor, Franklin W Maddux
INTRODUCTION: Hemodialysis patients with an arteriovenous fistula can use buttonhole techniques for cannulation. Although buttonholes generally work well, patients may report difficult and painful cannulation, and buttonholes may fail over time. We aimed to assess the effectiveness of tract dilation in treatment of failing buttonholes. METHODS: We retrospectively analyzed data from patients treated with buttonhole tract dilation at an outpatient vascular access center between January 2013 and August 2015...
October 14, 2018: Journal of Vascular Access
Ryan J Good, Kelly K Rothman, Daniel J Ackil, John S Kim, Jonathan Orsborn, John L Kendall
INTRODUCTION: Objective measures such as hand motion analysis are needed to assess competency in technical skills, including ultrasound-guided procedures. Ultrasound-guided peripheral intravenous catheter placement has many potential benefits and is a viable skill for nurses to learn. The objective of this study was to demonstrate the feasibility and validity of hand motion analysis for assessment of nursing competence in ultrasound-guided peripheral intravenous placement. METHODS: We conducted a prospective cohort study at a tertiary children's hospital...
October 14, 2018: Journal of Vascular Access
Hyung Seok Lee, Young Rim Song, Jwa Kyung Kim, Sun Ryoung Choi, Narae Joo, Hyung Jik Kim, Pyoungju Park, Sung Gyun Kim
INTRODUCTION: The number of elderly patients requiring hemodialysis has increased, along with the need for multiple vascular access placements. Thus, the frequency of access creation using the upper arm veins, including transposed basilic arteriovenous fistula, has also increased. The purpose of this study was to identify the prevalence of anatomical variations in the upper arm veins on preoperative mapping venography and to investigate the implications of such variants on access creation...
October 11, 2018: Journal of Vascular Access
Timothy R Spencer, Mauro Pittiruti
Ultrasound technology has revolutionized the practice of safer vascular access, for both venous and arterial cannulation. The ability to visualize underlying structures of the chest, neck, and upper/lower extremities provides for greater success, speed, and safety with all vascular access procedures. Ultrasound not only yields superior procedural advantages but also provides a platform to perform a thorough assessment of the vascular structures to evaluate vessel health, viability, size, and patency, including the location of other important and best avoided anatomical structures-prior to performing any procedures...
October 4, 2018: Journal of Vascular Access
Weng Jun Tang, Azreen Syazril Adnan, Md Salzihan Md Salleh, Arman Zaharil Mat Saad
INTRODUCTION: A functioning and reliable arteriovenous fistula is a lifeline for individuals suffering from chronic kidney disease. The success and failure to arteriovenous fistula maturation have been frequently related to patient and surgeon factors. METHOD: In total, 138 participants with stage IV and V chronic kidney disease were included in this prospective observational study. Preoperative vascular mapping using ultrasound was performed to evaluate the condition and size of the vessels to fulfil the inclusion criteria...
October 1, 2018: Journal of Vascular Access
Lucio Brugioni, Marco Barchetti, Giovanni Tazzioli, Roberta Gelmini, Massimo Girardis, Marcello Bianchini, Filippo Schepis, Matteo Nicolini, Giovanni Pinelli, Pietro Martella, Marco Barozzi, Francesca Mori, Serena Scarabottini, Andrea Righetti, Mirco Ravazzini, Elisabetta Bertellini
BACKGROUND: In patients with difficult peripheral venous access, alternative techniques require expertise and are invasive, expensive, and prone to serious adverse events. This brought us to designing a new venous catheter (JLB® Deltamed, Inc.) for the cannulation of medium and large bore veins; it is echogenic, and available in different lengths (60 / 70 / 80 mm) and Gauges (14 / 16 / 17 / 18). METHODS: We led a multi-center observational convenience sampling study to evaluate safety and effectiveness of JLB...
September 25, 2018: Journal of Vascular Access
Amanda J Ullman, Tim R Dargaville, Claire M Rickard
No abstract text is available yet for this article.
September 25, 2018: Journal of Vascular Access
Jan John Swinnen, Kerry Hitos, Lukas Kairaitis, Simon Gruenewald, George Larcos, David Farlow, David Huber, Gabriel Cassorla, Christopher Leo, Laurencia M Villalba, Richard Allen, Farshid Niknam, David Burgess
BACKGROUND: Endovascular treatment of autogenous arteriovenous haemodialysis fistula stenosis has high reintervention rates. We investigate the effect of drug-eluting balloons in the treatment of recurrent haemodialysis fistula stenosis. METHODS: This is a randomised, controlled, investigator-initiated and run, prospective, blinded, multicentre trial. Patients with recurrent autogenous arteriovenous haemodialysis fistula stenosis received standard endovascular treatment plus drug-eluting balloon or standard endovascular treatment plus uncoated balloon (Sham)...
September 18, 2018: Journal of Vascular Access
Susanne Regus, Felix Klingler, Werner Lang, Alexander Meyer, Veronika Almási-Sperling, Matthias May, Wolfgang Wüst, Ulrich Rother
INTRODUCTION: In this pilot study, we used indocyanine green fluorescence angiography during hemodialysis access surgery. The aim was to evaluate its relevance as a diagnostic tool to visualize changes in hand microperfusion. PATIENTS AND METHODS: In this prospective single-center study, 47 adult patients (33 male, 14 female) with renal disease (24 preemptive, 23 endstage) were enrolled. Surgical creation of an arteriovenous fistula was performed (22 forearm, 25 upper arm)...
September 11, 2018: Journal of Vascular Access
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