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Journal of Vascular Access

Shinichiro Koketsu, Hideo Kimura, Issei Tanaka
No abstract text is available yet for this article.
January 11, 2019: Journal of Vascular Access
Christos Argyriou, Nikolaos Schoretsanitis, Konstantia Kantartzi, Stylianos Panagoutsos, Vasileios D Souftas, Miltos K Lazarides, George S Georgiadis
Increased blood flow in the subclavian artery feeding a vascular access for hemodialysis can rarely induce steal phenomena in the vertebral and internal mammary artery leading to potentially life-threatening conditions. On the contrary, transient interruption of blood flow in the subclavian artery feeding a dialysis arteriovenous fistula can theoretically induce access thrombosis. Here, we describe a technical maneuver preserving continuous ipsilateral upper arm access flow when constructing a unilateral axillo-femoral polytetrafluoroethylene bypass operation for critical limb ischemia in a hemodialysis patient...
January 8, 2019: Journal of Vascular Access
Hou Guo-Cun, Yan Yong-Hong, Sun Xiu-Li, Hou Yi, Yin Na, Feng Guo-Zhen, Chen Ai-Zhen
AIM: The aim of this study was to assess the accuracy of post-operative ultrasound examination for predicting wrist radio-cephalic arteriovenous fistula maturity. METHODS: All radio-cephalic arteriovenous fistulas performed in our hospital between October 2015 and December 2017 were included in this study. Ultrasound examination of radio-cephalic arteriovenous fistulas was performed 2 weeks post-surgery. Radio-cephalic arteriovenous fistula maturation was defined as successful cannulation of a fistula with two needles, delivery of blood via the access route at a flow rate ⩾200 mL/min for 4 h, and dialysis via fistulae in at least six consecutive sessions...
January 8, 2019: Journal of Vascular Access
Ling L Xie, Dan Pu, Fen Q Xiang, Ying J Li
OBJECTIVE: To report a case of lung cancer metastasizing to skin from peripherally inserted central catheter puncture and to analyze the causes and treatment of this event. METHODS: In August 2016, one patient with lung cancer developed a nodule on the puncture site of peripherally inserted central catheter. The nodule was 1 cm × 1 cm in size and soft in texture, whose color was similar to that of the skin; the surface was smooth and integral without tenderness, bleeding, or exudates...
January 7, 2019: Journal of Vascular Access
Sedef Tavukcu Ozkan, Harun Arbatli
Close hemodynamic monitoring is crucial for the patients to guide cardiovascular therapy for the optimal management. Transpulmonary thermodilution offers a less invasive hemodynamic monitoring with Pulse Index Continuous Cardiac Output system analysis. Intracardiac shunts have been associated with well-defined alterations in transpulmonary thermodilution-related hemodynamic parameters leading to inaccurate measurements and therefore are among the contraindications for transpulmonary thermodilution. However, data on the effects of arteriovenous fistulas as well as extracorporeal circuits on the thermodilution curves remain limited and inconclusive...
January 4, 2019: Journal of Vascular Access
Chiara Grimaldi, Alessandro Crocoli, Roberta Angelico, Maria Cristina Saffioti, Simona Gerocarni Nappo, Fabrizio Chiusolo, Francesca Tortora, Sergio Giuseppe Picardo, Luca Dello Strologo, Maria Sole Basso, Lidia Monti, Paolo Guccione, Massimo Rollo, Marco Spada
Exhaustion of vascular accesses is a major complication in patients undergoing hemodialysis, especially in pediatric setting. We report the case of a boy treated for loss of hemodialysis access after a combined liver-kidney transplantation and transient renal dysfunction. An interventional dilatation of calcific superior vena cava allowed to insert a stable central venous line for dialysis until full graft recovery. Careful management of central lines allows to spare the main vessels and reduces the need for unusual accesses...
January 4, 2019: Journal of Vascular Access
Yi Xiu Chua, Cunli Yang, Leok Lim Lau, Stanley Eu Kuang Loh
No abstract text is available yet for this article.
January 4, 2019: Journal of Vascular Access
Andrew Barton
BACKGROUND: Peripheral intravenous cannulation is one of the most common invasive procedures for hospitalised patients. Patients with difficult venous access require special measures to facilitate cannulation. Veinplicity applies mild electrical stimulation to forearm veins to aid vessel dilation. To assess this new technique, we compared its effect on the veins to that of standard heat treatment. METHODS: In all, 20 volunteers were randomised to receive either application of heat packs to the forearm and later stimulation with Veinplicity or the same two treatments in reverse order...
January 4, 2019: Journal of Vascular Access
Maria Calabrese, Luca Montini, Gabriella Arlotta, Antonio La Greca, Daniele G Biasucci, Francesca Bevilacqua, Enrica Antoniucci, Andrea Scapigliati, Franco Cavaliere, Mauro Pittiruti
INTRODUCTION: The intracavitary electrocardiographic method is recommended for assessing the location of the tip of central venous catheter when there is an identifiable P wave. Previous reports suggested that intracavitary electrocardiographic method might also be applied to patients with atrial fibrillation, considering the so-called f waves as a surrogate of the P wave. METHODS: We studied 18 atrial fibrillation patients requiring simultaneously a central venous catheter and a trans-esophageal echocardiography...
December 31, 2018: Journal of Vascular Access
Yu-Xia Yin, Wei Gao, Xu-Ying Li, Wei Lu, Qian-Hong Deng, Cui-Yun Zhao, Xue-Rong Liu, Chao Zhou, Wen-Bo Hou, Shou-Tao Lu, Guang Liu, Lu-Ning Wang, Mao-Quan Li, Hai-Jun Zhang
INTRODUCTION: Ultrasound-guided venipuncture and tip location by intracavitary electrocardiogram have many advantages during the insertion of peripherally inserted central catheters, both in terms of safety and cost-effectiveness. Recently, a new tip-conductive peripherally inserted central catheters and new Doppler ultrasound device integrated with intracavitary electrocardiogram have been introduced into clinical practice in China. A randomized multicenter study (clinical trial no. NCT03230357) was performed to verify the feasibility and accuracy of intracavitary electrocardiogram, as performed with this new peripherally inserted central catheters and device...
December 31, 2018: Journal of Vascular Access
Long Duc Dinh, Dung Huu Nguyen
A well-functioning vascular access is a mainstay to perform an efficient hemodialysis procedure, which directly affects the quality of life in hemodialysis patients. We use three main types of access: native arteriovenous fistula, arteriovenous graft, and central venous catheter. Arteriovenous fistula remains the first and best choice for chronic hemodialysis. It is the best access for longevity, the lowest related complications, and for this reason, arteriovenous fistula use is strongly recommended by guidelines from different countries, including Vietnam...
December 31, 2018: Journal of Vascular Access
Christina M Yuan, James D Oliver, Dustin J Little, Rajeev Narayan, Lisa K Prince, Rajeev Raghavan, Robert Nee
BACKGROUND: Nephrologists are placing fewer non-tunneled temporary hemodialysis catheters. Requiring competence for nephrology fellow graduation is controversial. METHODS: Anonymous, online survey of all graduates from a single, military nephrology training program (n = 81; 1985-2017) and all US Nephrology program directors (n = 150). RESULTS: Graduate response and completion rates were 59% and 100%, respectively; 93% agreed they had been adequately trained; 58% (26/45) place non-tunneled temporary hemodialysis catheters, independent of academic practice or time in practice, but 12/26 did ⩽5/year and 23/26 referred some or all...
December 28, 2018: Journal of Vascular Access
Ru Yu Tan, Suh Chien Pang, Swee Ping Teh, Kian Guan Lee, Tze Tec Chong, Apoorva Gogna, Chieh Suai Tan
BACKGROUND: Percutaneous pharmacomechanical thrombolysis is increasingly used to salvage thrombosed hemodialysis access. We aim to evaluate the effectiveness of alteplase compared to urokinase in percutaneous pharmacomechanical thrombolysis clotted access. METHODS: Records of patients who underwent pharmacomechanical thrombolysis at Interventional Nephrology Suite in a tertiary teaching hospital from 1 January 2016 to 31 December 2016 were reviewed. Technical and clinical success rates, thrombosis-free and cumulative survivals, procedure time, and radiation dose imparted to patients were compared for pharmacomechanical thrombolysis with urokinase versus alteplase...
December 26, 2018: Journal of Vascular Access
Andrzej Cacko, Eliza Kozyra-Pydyś, Monika Gawałko, Grzegorz Opolski, Marcin Grabowski
INTRODUCTION: Venous stenosis or occlusion related to an intracardiac device is a well-known complication of that procedure. There are numerous studies tried to determine predictors of venous stenosis or occlusion; however, most of them investigate the venous system prior to device upgrade, generator replacement, or transvenous lead extraction. Therefore, we aimed to assess the prevalence and determine the predictors of venous stenosis or occlusion following first transevnous cardiac device implantation...
December 11, 2018: Journal of Vascular Access
Jin Ho Kim, Sung Bum Cho, Yun Hwan Kim, Hwan Hoon Chung, Seung Hwa Lee, Deuk Jae Sung
PURPOSE: To evaluate the feasibility and the outcomes of transjugular percutaneous endovascular treatment of dysfunctional hemodialysis access in patients with chronic kidney disease. METHODS: A total of 50 transjugular treatments in 38 patients with arteriovenous fistulas or arteriovenous grafts from September 2011 to May 2015 were included in this study. Medical records and angiographies were retrospectively reviewed. Success rate, patency rate, procedure time, and complications including internal jugular vein stenosis were evaluated...
December 6, 2018: Journal of Vascular Access
Ivo Laranjinha, Patricia Matias, Regina Oliveira, Ana Casqueiro, Maria Teresa Bento, Ana Paula Carvalho, Teresa Adragão, Cristina Jorge, Margarida Bruges, Rita Birne, Domingos Machado, André Weigert
INTRODUCTION: After a kidney transplant, it is unknown whether the maintenance of a functioning hemodialysis arteriovenous access could have deleterious effects on renal grafts. We hypothesize that maintaining an arteriovenous access can deviate a significant proportion of the cardiac output from the renal graft. The aim of this study was to investigate whether a temporary closure of the arteriovenous access could lead to an increase in graft perfusion. METHODS: We conducted a study in 17 kidney-transplanted patients with a functioning arteriovenous access...
December 6, 2018: Journal of Vascular Access
Caterina Magnani, Alice Calvieri, Diana Giannarelli, Margot Espino, Giuseppe Casale
OBJECTIVES: A prospective, observational study was conducted in our palliative care unit to assess the impact of peripherally inserted central catheters (PICCs), midline, and "short" midline catheters on the quality of care in cancer and non-cancer patients. The secondary objective was to assess pain and distress during vascular access device insertion. METHODS: Patients were recruited if they underwent insertion of a PICC, midline, or "short" midline catheter as part of their standard care...
December 3, 2018: Journal of Vascular Access
Reuban Toby D'cruz, Sze Wai Leong, Nicholas Syn, Alok Tiwari, Vikram Vijayan Sannasi, Harvinder Raj Singh Sidhu, Tjun Yip Tang
PURPOSE: The aim of this study is to appraise the current literature on the endovascular management options and their outcomes of cephalic arch stenosis in the setting of a failing brachiocephalic fistula for hemodialysis. METHODS: A systematic search of the literature was performed using PubMed, Embase, and Google Scholar from January 2000 to December 2017 in accordance with the PRISMA guidelines to investigate the outcomes of endovascular management of cephalic arch stenosis...
December 3, 2018: Journal of Vascular Access
Natasha Charlwood, Haytham Al-Khaffaf
PURPOSE: To report our 13 years of experience with the 'primary extension technique' for the prevention of dialysis-associated steal syndrome. METHODS: All diabetic patients undergoing upper arm autogenous elbow fistula formation using the primary extension technique between September 2001 and September 2014 at a single centre were included. At follow-up all patients were evaluated for patency, adequacy of needling and the presence or absence of steal symptoms...
November 29, 2018: Journal of Vascular Access
Arvind Kumar Bishnoi, Guruprasad Rai, Ganesh Sevagur Kamath, Rajkamal Vishnu, Vijay Kumar, Harshil Joshi, Ravindra Prabhu, Lalu Prasad Soni, Arfan Nasser
BACKGROUND: For patients with end-stage renal disease, a good vascular access is essential for chronic haemodialysis. Surgically created access arteriovenous fistula for haemodialysis is associated with multiple complications, and ruptured pseudoaneurysm being the most life threatening and dreaded of all. The management of this complication warrants emergency procedure, although timely diagnosis and arteriovenous fistula salvage has been emphasised. In this study, we describe the surgical technique and outcomes of ligation of the proximal arteriovenous fistula as a plausible alternative and life-saving procedure...
November 29, 2018: Journal of Vascular Access
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