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Journal of Vascular Access

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https://www.readbyqxmd.com/read/27911465/the-construction-of-arteriovenous-fistula-for-hemodialysis-in-patients-with-chronic-obstructive-arterial-disease-in-the-upper-limb
#1
Fábio Linardi, Jose A Costa, Fernanda R Angelieri, Maria G Marabezzi, Jose L Bevilacqua
OBJECTIVE: Describe the construction of arteriovenous fistula for hemodialysis in chronic renal patient on hemodialysis who presented chronic arterial obstruction in the upper limb. METHODS: A surgical procedure was performed on a patient with obstruction of the brachial artery in its proximal third. The procedure was carried out by the construction of a bypass with autologous vein between the proximal brachial and distal brachial arteries and the performing of an arteriovenous fistula with superficialized and anteriorized basilic vein, with anastomosis in the bypass at the same surgical procedure...
December 2, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27911464/two-successful-insertions-of-peripherally-inserted-central-catheter-in-a-super-elderly-patient-with-bilateral-pacemaker-placement
#2
Wenyan Sun, Yufen Ma, Bing Liu, Ruibing Ge, Kai Wang, Qi Song
Peripherally inserted central catheters (PICCs) have been placed through the peripheral veins, and the best location for the tip of the PICCs is the lower third of the superior vena cava (SVC) and cavo-atrial junction. PICCs are commonly used in intravenous administration, parenteral nutrition therapy, chemotherapy, as well as in critical care units. The success rates in venipuncture are enhanced when ultrasonographic guides are used by the bedside PICC teams. There have been few reports of PICCs placed in super elderly patients with permanent cardiac pacemakers...
December 2, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27911462/the-l-shaped-tunneling-technique-for-implantable-port-positioning-avoids-kinking
#3
Chandan Kumar Jha, Raouef Ahmed Bichoo, Sanjay Kumar Yadav
No abstract text is available yet for this article.
December 2, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27911461/proper-technique-of-port-puncture-in-the-deltopectoral-groove-the-port-pinning-technique
#4
Elias Kehagias, Dimitrios Tsetis
No abstract text is available yet for this article.
December 2, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27911460/retrospective-comparison-of-two-different-approaches-for-ultrasound-guided-internal-jugular-vein-cannulation-in-hemodialysis-patients
#5
Antonio Treglia, Dario Musone, Francesco Amoroso
BACKGROUND: Prevalent hemodialysis patients with vascular access consisting of a central venous catheter (CVC) are continuously increasing over the years. Improvement in evolution and CVC placement procedures represents therefore an essential tool to enhance performance and reduce intraoperative and long-term CVC complications. Internal jugular vein (IJV) catheterization techniques are different according to ultrasound probe position in relation to vein axis and to needle direction in relation to ultrasound beam...
December 2, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27911463/vascular-access-types-in-patients-starting-hemodialysis-after-failed-kidney-transplant-does-close-nephrology-follow-up-matter
#6
Naveed Ul Haq, Mohamed Said Abdelsalam, Mohammed Mahdi Althaf, Abdulrahman Ali Khormi, Hassan Al Harbi, Bader Alshamsan, Mamdouh Nasser Albaqumi, Dieter Clemens Broering, Lutfi Alkorbi, Hassan Ali Aleid
BACKGROUND: Native arteriovenous fistulae (AVFs) are preferred while central venous catheters (CVCs) are least suitable vascular access (VA) in patients requiring hemodialysis (HD). Unfortunately, around 80% of patients start HD with CVCs. Late referral to nephrologist is thought to be a factor responsible for this. We retrospectively analyzed the types of VA at HD initiation in renal transplant recipients followed by nephrologists with failed transplant. If early referral to nephrologist improves AVF use, these patients should have higher prevalence of AVF at HD initiation...
November 28, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27886367/tissue-ischemia-worsens-during-hemodialysis-in-end-stage-renal-disease-patients
#7
Jan Malik, Jaroslav Kudlicka, Jana Lachmanova, Anna Valerianova, Katarina Rocinova, Magdalena Bartkova, Vladimir Tesar
BACKGROUND: Cognitive deficit is a common problem in end-stage renal disease (ESRD) patients. Ultrafiltration and hemodialysis lead to profound hemodynamic changes. The aim of this pilot study was to describe brain and hand oxygenation values in ESRD patients and their changes during hemodialysis. METHODS: Twenty-seven patients treated by chronic hemodialysis and 17 controls patients of the same age were included in the study. Regional saturation of oxygen (SrO2) was measured at the brain frontal lobe and at the hand with dialysis access using the INVOS 5100C...
November 22, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27886364/ultrasound-guided-angioplasty-for-treatment-of-peripheral-stenosis-of-arteriovenous-fistula-a-single-center-experience
#8
Sunil Kumar, Nikhil Mahajan, Shivakumar S Patil, Navdeep Singh, Soham Dasgupta, Seetharam Tejavath, Sarbpreet Singh, Deepesh B Kenwar, Ashish Sharma, Mukut Minz
PURPOSE: In patients with end-stage renal disease, arteriovenous fistulas (AVFs) are the access of choice for hemodialysis but are often complicated by stenosis. We present single-center experience of 78 ultrasound-guided angioplasty procedures for treating peripheral stenoses of AVFs. METHODS: Between January 2013 and November 2015, 78 angioplasties were performed under ultrasound guidance in 53 patients with end-stage renal disease who were referred from dialysis centers with low flow rate, difficult cannulation, increased cannulation site bleeding, immature or thrombosed AVF...
November 22, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27886363/the-dilemma-of-double-lifelines-central-venous-catheter-co-existence-with-transvenous-cardiac-pacemaker
#9
Dharmendra Bhadauria, Anand Chellappan, Mohan Gurjar, Anupma Kaul, Raj Kumar Sharma, Narayan Prasad
No abstract text is available yet for this article.
November 22, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27886362/balloon-assisted-venous-access-salvage-through-a-thrombosed-arteriovenous-graft
#10
Chen Pong Wong, Karthikeyan Damodharan, Thijs A J Urlings, Sivanathan Chandramohan
INTRODUCTION: Maintaining vascular access by means of radiological intervention has become the mainstay of management of patients with central venous stenoses and occlusions (CVO), which can be challenging. We present a case of balloon-assisted percutaneous puncture of an occluded left subclavian vein, through a thrombosed arteriovenous graft, for a tunneled dialysis catheter insertion. METHODS: A thrombosed left arm arteriovenous graft was accessed, and the occluded left subclavian vein was traversed with 0...
November 22, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27886365/the-use-of-ultrasound-for-peripheral-iv-placement-by-vascular-access-team-nurses-at-a-tertiary-children-s-hospital
#11
Marsha Elkhunovich, Joanna Barreras, Valerie Bock Pinero, Nurit Ziv, Aisha Vaiyani, Thomas Mailhot
PURPOSE: Children receiving treatment in the hospital frequently require intravenous (IV) access. Placement of short peripheral catheters can be painful and challenging especially in those children who have difficult access. Many children's hospitals have teams of specialized vascular access nurses experienced in peripheral catheter insertion, and at times use vein visualization devices, including ultrasound (US), to assist in peripheral IV placement. Our objectives were to describe the prevalence and success rate of US-guided peripheral IV placement by vascular access team nurses at a single tertiary children's hospital...
November 15, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27886366/utility-of-blind-percutaneous-jugular-venous-cannulation-in-resource-limited-settings
#12
Opeyemi Komolafe, Olalekan Olatise
BACKGROUND: For the nephrologist practicing in resource-limited settings, vascular ultrasound is often unavailable; consequently, blind percutaneous puncture of large veins is often employed to establish vascular access for hemodialysis. METHODS: To examine the efficacy and safety of this approach we evaluated 53 consecutive patients in whom central vascular access was required. The vascular access route utilized was primarily the right internal jugular vein. In the majority of cases, the indication for central vascular access was hemodialysis...
November 14, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27834451/elements-of-dialysis-nursing-practice-associated-with-successful-cannulation-result-of-an-international-survey
#13
Maria Teresa Parisotto, Francesco Pelliccia, Aileen Grassmann, Daniele Marcelli
BACKGROUND/AIM: Vascular access (VA) cannulation is an essential skill for dialysis nurses: failure to correctly repeat this operation daily may result in serious complications for the patients. This study investigates if different aspects of arteriovenous fistula and graft cannulation have an effect on the development of acute access complications, which may affect the VA survival. METHODS: In April 2009 a cross-sectional survey was conducted in 171 dialysis units located in Europe, the Middle East and Africa to collect details on VA cannulation practices...
November 9, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27834456/over-catheter-tract-suture-to-prevent-bleeding-and-air-embolism-after-tunnelled-catheter-removal
#14
Krzysztof Letachowicz, Tomasz Gołębiowski, Mariusz Kusztal, Jan Penar, Waldemar Letachowicz, Wacław Weyde, Marian Klinger
INTRODUCTION: Severe, life-threating, complications might occur on dialysis catheter removal. METHODS: We present a useful technique that may prevent vascular air embolism and severe bleeding. RESULTS: The suture is placed around the catheter and tied over previous tract just after device removal. CONCLUSIONS: Applying a compressing suture to the tract left after removal of a tunnelled haemodialysis catheter is a simple manoeuvre that could prevent severe complication...
November 8, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27834453/guidance-markers-increase-the-accuracy-of-simulated-ultrasound-guided-vascular-access-an-observational-cohort-study-in-a-phantom
#15
Sofie Thorn, Marlene Aagaard Hansen, Erik Sloth, Lars Knudsen
INTRODUCTION: Peripheral ultrasound (US)-guided vascular access is gaining popularity. Though studies have demonstrated that US-guided vascular access has several advantages, the procedure is challenging to even the most experienced operator. The aim of this observational cohort study was to investigate whether adding guidance markers on a US system would increase the accuracy of US-guided needle tip placement compared to no guidance markers. METHODS: A total of 18 physicians and 12 nurses familiar with US-guided vascular access volunteered to participate...
November 8, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27834452/internal-jugular-dimensions-and-common-carotid-overlapping-assessed-in-a-cross-sectional-study-by-ultrasonography-at-three-neck-levels-in-healthy-volunteers
#16
Helena Norin, Andreas Pikwer, Fredrik Fellert, Jonas Åkeson
BACKGROUND: Cannulation of the internal jugular vein may be associated with inadvertent puncture of the common carotid artery. Systematic use of ultrasound guidance has improved clinical success rates and reduced complications, but better knowledge of topographic relationships of the internal jugular vein and common carotid artery is desirable. This preclinical study was designed to determine by ultrasound technique relative topographic characteristics in humans of the internal jugular veins and common carotid arteries at different levels on both sides of the neck...
November 8, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27834457/investigation-of-the-knowledge-and-attitudes-of-patients-who-are-undergoing-hemodialysis-treatment-regarding-their-arteriovenous-fistula
#17
Nurten Ozen, Nuran Tosun, Fatma Ilknur Cinar, Gulcan Bagcivan, Mahmut Ilker Yilmaz, Dilek Askin, Dilek Mut, Volkan Ozen, Mujdat Yenicesu, Evis Zajm
PURPOSE: The major cause of morbidity in hemodialysis patients is arteriovenous fistula deficiency. The patient should have adequate knowledge to ensure arteriovenous fistula patency. Our aim is to investigate the knowledge and attitude of the patients undergoing hemodialysis treatment regarding arteriovenous fistula. METHODS: This study was conducted on 335 patients who met the study criteria. Data collection forms evaluating the "Socio-Demographic and Medical Characteristics" and "Knowledge and Attitudes about arteriovenous fistula" of the patients were developed following a literature review by the investigators...
November 3, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27834455/performance-of-physical-examination-versus-ultrasonography-to-detect-stenosis-in-haemodialysis-arteriovenous-fistula
#18
Ana B Maldonado-Cárceles, José García-Medina, Alberto M Torres-Cantero
PURPOSE: The overall purpose of this study is to compare the accuracy of physical examination (PE) versus ultrasonography (US) in people with arteriovenous fistula (AVF). METHODS: This is a cross-sectional study with a total of 99 patients attended by the vascular radiology unit for AVF evaluation during January - March 2015. PE and ultrasonography were blinded performed by different radiologists. For complete and individual signs of PE, sensitivity, specificity, predictive positive (PPV) and negative (PNV) value, likelihood ratios (LR) and Cohen's κ value were measured...
November 3, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27834454/operative-and-perioperative-management-of-infected-arteriovenous-grafts
#19
Ehsan Benrashid, Linda M Youngwirth, Leila Mureebe, Jeffrey H Lawson
Vascular graft infections are a particularly troublesome complication for dialysis patients, many of whom are in an already immunocompromised state. The objective of this review is to detail the risk factors, etiology, diagnosis, perioperative and operative management of vascular graft infections.
November 3, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27791258/femorally-inserted-central-venous-catheter-in-patients-with-superior-vena-cava-obstruction-choice-of-the-optimal-exit-site
#20
Jinghui Zhang, Siyuan Tang, Chengping Hu, Cailan Zhang, Lianxiang He, Xuebing Li, Jinnan Xiao
PURPOSE: This study assessed patient comfort and catheter indwelling time and decreased incidence of complications in patients with femorally inserted venous catheters (FIVCs) via different exit sites. METHODS: A group of 114 patients suffering from lung cancer complicated by superior vena cava obstruction (SVCO) underwent femoral insertion of venous catheters to facilitate chemotherapy infusion. Patients were divided into two groups: a novel (NOV) group (n = 59) with the FIVC exit site at the mid-thigh and a conventional (CON) group (n = 55) with the exit site at the groin...
October 26, 2016: Journal of Vascular Access
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