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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
Alexandros Mallios, William Jennings, Alessandro Costanzo, Benoit Boura, Myriam Combes
Ulnar-basilic arteriovenous fistula is an alternative option when a radiocephalic arteriovenous fistula is not feasible. We review our technique of basilic vein transposition in the upper arm for difficult to puncture forearm ulnar-basilic non-transposed arteriovenous fistulae. Technical note: Three patients were referred for forearm ulnar-basilic arteriovenous fistulae with difficult cannulation where the forearm basilic vein was left in situ (non-transposed). Surgeon performed ultrasound examination confirmed a patent arteriovenous fistula with adequate diameter and flow, draining to the basilic vein in the forearm and into the upper arm...
September 6, 2018: Journal of Vascular Access
Marcin Michalak, Łukasz Januszkiewicz, Franciszek Majstrak, Monika Gawałko, Grzegorz Opolski, Marcin Grabowski
Long-term tunneled central venous catheters are widely used in several clinical indications, that is, hemodialysis, chemotherapy, and total parenteral nutrition. However, central venous catheters are associated with a number of complications, including catheter occlusion and sepsis, which may necessitate earlier catheter removal. In most cases manual traction is sufficient to remove the catheter. Nevertheless, in some cases severe adhesions, formed between the catheter and the vessel wall, complicate simple catheter removal...
August 30, 2018: Journal of Vascular Access
Domenico Patanè, Giovanni Failla, Giovanni Coniglio, Giorgio Russo, Walter Morale, Giuseppe Seminara, Giacomo Calcara, Paola Bisceglie, Pierantonio Malfa
The aim of our study is to report the results of two types (type A, type B) paclitaxel drug-coated balloon compared with standard percutaneous transluminal angioplasty in the treatment of juxta-anastomotic stenoses of mature but failing distal radiocephalic hemodialysis arteriovenous fistulas. Two groups of 26 and 44 patients treated with two different drug-coated balloon are compared with a control group of 86 treated with standard percutaneous transluminal angioplasty. A color Doppler ultrasound was performed to evaluate stenosis and for treatment planning...
August 30, 2018: Journal of Vascular Access
Jin Ho Lee, Joon Ho Song, HeeYeoun Kim, Dong Yeol Lee, JoonSeok Oh, Yong Hun Sin, Joong Kyung Kim, Seon Deok Hwang
No abstract text is available yet for this article.
August 30, 2018: Journal of Vascular Access
Zaghloul Elsafy Gouda, Mahmoud Mohamed Emara, Hany Said Elbarbary, Mahmoud Abdel Aziz Koura, Ahmed Rabie Elarbagy
INTRODUCTION: Internal jugular vein occlusion often makes necessary the use of less desirable routes as external jugular, subclavian, and femoral vein approaches in addition to inferior vena cava approaches. This a prospective cross-sectional follow-up study of the alternative approaches for placement of cuffed hemodialysis catheters in end-stage renal disease patients with bilateral internal jugular vein occlusion from the interventional nephrology point of view. METHOD: The study was conducted on 134 end-stage renal disease patients who were referred for insertion of a challenging hemodialysis catheter due to bilateral internal jugular vein occlusion...
August 24, 2018: Journal of Vascular Access
Amirmohsen Jalaeefar, Arash Mohammadi Tofigh, Atoosa Gharib, Mohsen Khandaghy, Mohammad Reza Rahimi
INTRODUCTION: Arteriovenous fistula is the best choice for vascular access in hemodialysis patients. However, arteriovenous fistula dysfunction is a major clinical issue. The most common cause of arteriovenous fistula failure is intimal hyperplasia. In this study, we have investigated the effect of N-acetylcysteine on neo-intimal hyperplasia after arteriovenous fistula creation in rats. METHODS: This study was conducted in 24 rats which were randomly divided into two groups: control and N-acetylcysteine groups...
August 24, 2018: Journal of Vascular Access
Crystal A Farrington, Ahmed K Abdel-Aal, Ammar Almehmi
INTRODUCTION: Conventional guidewire techniques are not always sufficient to restore arteriovenous graft patency in patients with challenging vascular scenarios. We discuss a novel approach to the treatment of chronic total occlusion of the venous outflow tract to enable successful arteriovenous graft thrombectomy. CASE PRESENTATION: A 28-year-old female with end-stage renal disease on chronic hemodialysis and recurrent arteriovenous graft thromboses presented with a clotted thigh graft...
August 24, 2018: Journal of Vascular Access
Gaspar Mestres, Xavier Yugueros, Nestor Fontseré, Alejandro Fierro, Xavier Sala, Teresa Maria Derosa, Marta Burrel, Vincent Riambau
INTRODUCTION: Ambulatory surgery is associated with lower costs, but there is lack of evidence of the safety for ambulatory vascular access surgery. The objective of this study is to substantiate the safety and effectiveness of performing vascular access surgery in an ambulatory setting. METHODS: A review of our prospectively maintained database including all vascular access open surgeries (creations and repairs) performed by our Vascular Access Unit between 2013 and 2017 was compiled...
August 17, 2018: Journal of Vascular Access
Jigme Choden, Peter J Carr, Aleisha R Brock, Adrian Esterman
INTRODUCTION: Peripheral intravenous catheter insertion is a clinical procedure commonly performed by nurses for pediatric patients in Bhutan. This study describes peripheral intravenous catheter first attempt success and factors associated with such insertions. METHODS: A cross-sectional survey was conducted from October 2016 to March 2017, comprised of a national sample of the Bhutan pediatric patient population (0-12 years). We collected data on peripheral intravenous catheter first time insertion success rate of admitted pediatric patients, to identify predictors of a successful first time attempt...
August 15, 2018: Journal of Vascular Access
Bart L Dolmatch, John C Gurley, Kevin M Baskin, Boris Nikolic, Jeffrey H Lawson, Surendra Shenoy, Theodore F Saad, Ingemar Davidson, Mark O Baerlocher, Emil I Cohen, Sean R Dariushnia, Salomão Faintuch, Bertrand Janne d'Othee, Thomas B Kinney, Mehran Midia, James Clifton
No abstract text is available yet for this article.
August 13, 2018: Journal of Vascular Access
Breanna Sullivan, Sanjay Desai, Tej M Singh, Amit Mitra
INTRODUCTION: Radiocephalic fistulas are the preferred type of arteriovenous fistula due to their advantageous location. However, radiocephalic fistula maturation has historically been inferior to brachiocephalic fistulas. Research indicates that intermittent compression may aid in forearm vein dilation. Early use of a compression device may assist radiocephalic fistula maturation. OBJECTIVES: This prospective, randomized, placebo controlled study evaluates device safety and the effect of intermittent compression on vein size of radiocephalic fistulas and brachiocephalic fistulas...
August 13, 2018: Journal of Vascular Access
Martin Söderman, Jes S Lindholt, Lene L Clausen
INTRODUCTION: The prevalence and incidence of patients in need of hemodialysis worldwide are increasing. The population in need of hemodialysis is becoming older and vascular comorbidities are more frequent than decades ago. Consequently, the prevalence of patients with exhausted possibilities of upper limb vascular accesses increases. In contrast to other lower limb vascular accesses, a fistula by transposing the femoral vein to the superficial femoral artery promises better patency rates in preliminary series...
August 3, 2018: Journal of Vascular Access
Bruno Ff Antunes, Andrea Mn Machado, Roberta A Miziara, Adolfo W Liao, Cynthia A Mendes, Nelson Wolosker, Marcelo P Teivelis
INTRODUCTION: Insertion of central catheters in peripheral vessels is a common procedure performed for a variety of indications, including parenteral nutrition. Hyperemesis gravidarum may require parenteral nutrition in exceptional situations. Although globally safe, insertion of peripherally inserted central catheters (PICCs) can lead to complications. CASE REPORT: We describe a case of a pregnant woman who required parenteral nutrition and underwent an unsuccessful PICC insertion attempt resulting in arterial puncture, and who 34 days later presented with right upper limb paresthesia...
August 3, 2018: Journal of Vascular Access
Jin Ho Lee, Seun Deuk Hwang, Joon Ho Song, HeeYeoun Kim, Dong Yeol Lee, Joon Seok Oh, Yong Hun Sin, Joong Kyung Kim
INTRODUCTION: Tunneled cuffed catheters provide stable, instantaneous, long-term intravenous access for hemodialysis. Because catheterization is often performed in emergency situations, speed and accuracy are emphasized. METHODS: We retrospectively compared the Micropuncture kit with the standard 18-gauge Angiocath IV catheter for tunneled cuffed catheter insertion in the right jugular vein. From June 2016 to May 2017, 31 tunneled cuffed catheters were successfully inserted via the Micropuncture kit and another 31 via the Angiocath IV catheter...
August 2, 2018: Journal of Vascular Access
Patrick Pan, Edward Wolfgang Lee, Navid Eghbalieh, Harry Trieu
Transarterial embolization of bone tumors is effective in both decreasing intraoperative hemorrhage and alleviating symptoms. Transradial access has been associated with a lower risk of access site complications when compared to transfemoral access. Three cases of transarterial embolization of bony metastases in the upper extremity and shoulder girdle were performed with an ipsilateral transradial access. In each case, significant decrease in tumor blush was noted after embolization, and no auxiliary access site was needed...
July 31, 2018: Journal of Vascular Access
Karin Staaf, Fredrik Uhlin
BACKGROUND: Haemodialysis requires a vascular access, most commonly an arteriovenous fistula, which many patients consider a lifeline. It is important to select a cannulation technique assuring a low number of complications. Buttonhole cannulation using sharp needles is a common technique, but information is scarce regarding its long-term consequences. In this study, we aimed to investigate whether the choice of cannulation technique - buttonhole with sharp or blunt needles - affected the development of arteriovenous fistula complications...
July 30, 2018: Journal of Vascular Access
Denise Kim, Cynthia Bhola, Naomi Eisenberg, Janice Montbriand, George Oreopoulos, Charmaine E Lok, Graham Roche-Nagle
INTRODUCTION: A proportion of hemodialysis patients exhaust all options for arteriovenous access in upper extremities. Arteriovenous thigh grafts are a potential vascular access option in such patients. METHODS: We performed a retrospective study of all thigh arteriovenous access grafts placed between 1995 and 2015. The clinical, demographic patient information and patency of each thigh graft was determined from the time of surgical creation placement until abandonment, transfer to other modality, or center or end of study, and the reason for access failure documented...
July 25, 2018: Journal of Vascular Access
Mohamed M Elsherif, Muhammad M Tubassam, Stewart S Walsh
No abstract text is available yet for this article.
July 1, 2018: Journal of Vascular Access
Nicholas Inston, Charmaine E Lok
The timing of referral for creation of vascular access in a patient with declining kidney function is difficult to predict. Current methods may result in patients undergoing unnecessary procedures and subsequent interventions on accesses that are never used. Multiple variables, including time for assessment, surgery and follow-up that considers the likelihood of access failure, and the estimated rate of kidney function decline, make vascular access planning challenging and difficult to balance. Better prediction tools that incorporate the risks of progressive decline in kidney function with the risk of access failure and the competing risk of death would facilitate decision-making in vascular access...
July 1, 2018: Journal of Vascular Access
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