keyword
https://read.qxmd.com/read/32734959/is-it-time-to-abandon-buttonhole-cannulation-of-arteriovenous-fistulas
#21
EDITORIAL
Michael Allon
No abstract text is available yet for this article.
September 2019: Kidney medicine
https://read.qxmd.com/read/32734206/-staphylococcus-aureus-bacteremia-risk-in-hemodialysis-patients-using-the-buttonhole-cannulation-technique-a-prospective-multicenter-study
#22
JOURNAL ARTICLE
Rie Glerup, My Svensson, Jens D Jensen, Jeppe H Christensen
Rationale & Objective: Arteriovenous fistulas are the preferred access type for hemodialysis. The buttonhole needling technique has become an alternative to stepladder or area puncture. However, an increased risk for infection has been described. The present study examined the risk for infectious complications with different needling techniques. Study Design: Prospective multicenter observational cohort study with 5 years of follow-up. Setting & Participants: In-center hemodialysis patients from 5 hemodialysis units in Denmark, dialyzed on a native arteriovenous fistula...
September 2019: Kidney medicine
https://read.qxmd.com/read/32151430/risk-of-vascular-access-infection-associated-with-buttonhole-cannulation-of-fistulas-data-from-the-national-healthcare-safety-network
#23
JOURNAL ARTICLE
Meghan Lyman, Duc B Nguyen, Alicia Shugart, Heidi Gruhler, Christi Lines, Priti R Patel
RATIONALE & OBJECTIVE: Compared with conventional (rope-ladder cannulation [RLC]) methods, use of buttonhole cannulation (BHC) to access arteriovenous fistulas (AVFs) may be associated with increased risk for bloodstream infection and other vascular access-related infection. We used national surveillance data to evaluate the infection burden and risk among in-center hemodialysis patients with AVFs using BHC. STUDY DESIGN: Descriptive analysis of infections and related events and retrospective observational cohort study using National Healthcare Safety Network (NHSN) surveillance data...
July 2020: American Journal of Kidney Diseases
https://read.qxmd.com/read/31490050/arteriovenous-buttonhole-access-cannulation-in-pediatric-patients-on-hemodialysis
#24
JOURNAL ARTICLE
Tyson Moore, Stephanie Brightman, David L Dodson, Bradley A Warady
The arteriovenous fistula (AVF) is the recommended hemodialysis access for pediatric patients who weight more than 20 kg and who are not expected to receive a kidney transplant for one year or longer. Whereas buttonhole cannulation of the AVF has been discouraged in adults because of the associated risk of infection, the published pediatric experience with this technique is extremely limited. A retrospective chart review of all buttonhole cannulated AVFs in a single pediatric hemodialysis unit was performed...
July 2019: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://read.qxmd.com/read/30734988/the-use-of-nurse-administered-vascular-access-audit-in-home-hemodialysis-patients-a-quality-initiative
#25
JOURNAL ARTICLE
Miten Dhruve, Rose Faratro, Celine D'Gama, Stella Fung, Daniela Arustei, Elizabeth Wong, Christopher T Chan
INTRODUCTION: Vascular access complications are associated with increased morbidity and mortality in home hemodialysis (HHD). Nurse-administered vascular access checklist is a feasible quality improvement strategy aimed to lower HHD access errors. METHODS: We conducted a prospective quality improvement initiative for consecutive HHD patients between April 2013 and December 2016 at the Toronto General Hospital. Vascular access audits were administered every 6 months during clinic visits and during retraining sessions after an infection...
April 2019: Hemodialysis International
https://read.qxmd.com/read/30707492/stenosis-and-thrombosis-unveiled-complications-of-buttonhole-cannulation
#26
Carla Leal Moreira, Ana Castro, Fernanda Silva, Paulo Almeida, António Nórton de Matos, Clemente Neves Sousa, Rui Almeida, António Cabrita, José Alexandre Queirós
The vascular access is the mainstay of hemodialysis. Arteriovenous fistula has been prioritized as the first choice of long-term vascular access for its inferior rate of complications and improved patient survival. Rope ladder and buttonhole venipuncture are the most common techniques for arteriovenous fistulae cannulation. Much of the concern regarding buttonhole cannulation is the increased risk for potentially severe systemic infections. Increased risk for stenosis and thrombosis has been addressed but not confirmed...
February 1, 2019: Hemodialysis International
https://read.qxmd.com/read/30659057/buttonhole-versus-stepladder-cannulation-for-home-hemodialysis-a-multicenter-randomized-pilot-trial
#27
JOURNAL ARTICLE
Shih-Han S Huang, Jennifer MacRae, Dana Ross, Rameez Imtiaz, Brittany Hollingsworth, Gihad E Nesrallah, Michael A Copland, Philip A McFarlane, Christopher T Chan, Deborah Zimmerman
BACKGROUND AND OBJECTIVES: Canadian home hemodialysis guidelines highlight the potential differences in complications associated with arteriovenous fistula (AVF) cannulation technique as a research priority. Our primary objective was to determine the feasibility of randomizing patients with ESKD training for home hemodialysis to buttonhole versus stepladder cannulation of the AVF. Secondary objectives included training time, pain with needling, complications, and cost by cannulation technique...
March 7, 2019: Clinical Journal of the American Society of Nephrology: CJASN
https://read.qxmd.com/read/30319008/tract-dilation-to-salvage-failing-buttonholes-in-arteriovenous-dialysis-fistulae
#28
JOURNAL ARTICLE
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
https://read.qxmd.com/read/30056775/cannulation-with-sharp-or-blunt-needles-for-haemodialysis-the-importance-of-cannulation-technique-for-the-patient-s-lifeline
#29
JOURNAL ARTICLE
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
https://read.qxmd.com/read/29605379/bacteriology-of-the-buttonhole-cannulation-tract-in-hemodialysis-patients-a-prospective-cohort-study
#30
MULTICENTER STUDY
Line Dahlstrøm Christensen, Mai-Britt Skadborg, Agnete H Mortensen, Carsten Mortensen, Jens K Møller, Lars Lemming, Irene Høgsberg, Steffen E Petersen, Niels H Buus
BACKGROUND: The buttonhole cannulation technique for arteriovenous fistulas is widely used, but has been associated with an increased rate of vascular access-related infections. We describe the frequency and type of bacterial colonization of the buttonhole tract over time and associated clinical infections. STUDY DESIGN: A prospective observational cohort study with 9 months of follow-up. SETTING & PARTICIPANTS: 84 in-center hemodialysis patients using the buttonhole cannulation technique at 2 Danish dialysis centers...
August 2018: American Journal of Kidney Diseases
https://read.qxmd.com/read/27781373/home-hemodialysis-associated-infection-the-achilles-heel-of-intensive-hemodialysis
#31
REVIEW
Clara K Poon, Christopher T Chan
Home hemodialysis (HHD) is emerging as an important alternate renal replacement therapy. Although there are multiple clinical advantages with HHD, concerns surrounding increased risks of infection in this group of patients remain a major barrier to its implementation. In contrast to conventional hemodialysis, infection related complication represents the major morbidity in this mode of renal replacement therapy. Vascular access related infection is an important cause of infection in this population. Use of central vein catheters and buttonhole cannulation in HHD are important modifiable risk factors for HHD associated infection...
April 2017: Hemodialysis International
https://read.qxmd.com/read/27772644/intensive-hemodialysis-and-potential-risks-with-increasing-treatment
#32
REVIEW
Michael A Kraus, Sheru Kansal, Michael Copland, Paul Komenda, Eric D Weinhandl, George L Bakris, Christopher T Chan, Richard J Fluck, John M Burkart
Although intensive hemodialysis (HD) can address important clinical problems, increasing treatment also introduces risks. In this review, we assess risks pertaining to 6 domains: vascular access complications, infection, mortality, loss of residual kidney function, solute balance, and patient and care partner burden. In the Frequent Hemodialysis Network (FHN) trials, short daily and nocturnal schedules increased the incidence of access complications, although the incidence of access loss was not statistically higher...
November 2016: American Journal of Kidney Diseases
https://read.qxmd.com/read/27768208/subscapular-abscess-associated-with-buttonhole-cannulation-technique-of-arteriovenous-fistula-for-hemodialysis-access
#33
JOURNAL ARTICLE
Abhilash Koratala, Kawther F Alquadan, Volodymyr Chornyy, Irfan Qadri, Abutaleb Ahsan Ejaz
No abstract text is available yet for this article.
March 21, 2017: Journal of Vascular Access
https://read.qxmd.com/read/27678339/buttonhole-cannulation-of-the-av-fistula-a-critical-analysis-of-the-technique
#34
REVIEW
Pierpaolo Di Nicolò, Marina Cornacchiari, Marco Mereghetti, Anna Mudoni
As a consequence of the central role of the arteriovenous fistula for dialysis (AVF) in the clinical management of the dialysis patient the necessity to limit the puncture-related complications to extend as much as possible the life of the vascular access. Accordingly, the AVF needling technique has gained growing attention. Alongside the traditional rope ladder (RL) puncture method, the buttonhole technique (BH) is increasingly popular; this technique employs the same cannulation sites of AVF in every dialysis associated with the use of dull needles to minimize vessels damage...
January 2017: Seminars in Dialysis
https://read.qxmd.com/read/26994295/con-buttonhole-cannulation-of-arteriovenous-fistulae
#35
REVIEW
Annie-Claire Nadeau-Fredette, David W Johnson
Successful cannulation of arteriovenous fistulas (AVFs) using a safe and effective technique that minimizes patient harm is a crucial aspect of haemodialysis treatment. Although the current standard of care for many years has been the rope-ladder technique (using sharp needles to cannulate rotating sites across the entire AVF), a number of enthusiasts have recently advocated for the alternative method of buttonhole cannulation (using blunt needles to repeatedly cannulate the same site via a healed track) on the basis of putative, as yet unproven benefits...
April 2016: Nephrology, Dialysis, Transplantation
https://read.qxmd.com/read/26994294/moderator-s-view-buttonhole-cannulation-of-arteriovenous-fistulae-great-caution-is-warranted
#36
COMMENT
Laura Labriola, Michel Jadoul
Potential advantages of buttonhole (BH) cannulation over the standard rope-ladder technique have been claimed on the basis of small sized, potentially biased observational studies with a relatively short follow-up. On the contrary, randomized controlled trials (RCTs) show inconclusive or conflicting results. The uncertain benefit must thus be weighed against a definite increase in the infectious risk with the BH technique, which may not be completely abolished by preventative strategies. Awaiting the results of long-term studies (>2-3 years follow-up), the widespread use of the BH technique is not warranted, especially in busy in-centre haemodialysis (HD) settings with many rotating nurses...
April 2016: Nephrology, Dialysis, Transplantation
https://read.qxmd.com/read/26994293/pro-buttonhole-cannulation-of-arteriovenous-fistulae
#37
REVIEW
Gihad E Nesrallah
Arteriovenous fistulae remain the access of choice for most hemodialysis patients. However, several factors limit their uptake and long-term patency, resulting in suboptimal prevalent rates in many high-income countries. Patients place considerable value on the avoidance of vascular access complications, pain and disfigurement. The approach to cannulation is a modifiable practice that could improve patient-important outcomes, with buttonhole needling offering some theoretical advantages over the standard rope-ladder and area methods...
April 2016: Nephrology, Dialysis, Transplantation
https://read.qxmd.com/read/26991535/infection-rates-following-buttonhole-cannulation-in-hemodialysis-patients
#38
COMPARATIVE STUDY
Sophie Collier, Hala Kandil, Enat Yewnetu, Jennifer Cross, Ben Caplin, Andrew Davenport
Arteriovenous fistula (AVF) is the preferred access for hemodialysis (HD). Buttonhole (BH) needling has increased following the introduction of "blunt" fistula needles. Although some reported advantages for BH needling, others have reported increased infection risk. As such we reviewed our center practice, and the effect of both nasal screening and eradication and re-education and training programs. We audited the outcomes of 881 HD patients dialyzed between November 2009 and May 2012, divided into three groups: 175 dialyzing exclusively by central venous catheter (CVC), 478 exclusively by area needling AVF (AVF) and 219 by BH...
October 2016: Therapeutic Apheresis and Dialysis
https://read.qxmd.com/read/26820709/access-related-infections-involving-the-buttonhole-technique
#39
REVIEW
Shigeki Toma, Takahiro Shinzato, Kunihiro Hayakawa
PURPOSE: In this study, we discuss a mechanism of development of access-related Staphylococcus aureus infections in patients on buttonhole (BH) method and logically construct a measure to prevent such infections on the basis of the mechanism. SUMMARY: S. aureus can colonize a BH track. Once S. aureus colonizes a BH track, access-related infections may develop when the equilibrium is upset between the factors of host resistance and a level of bacterial growth in a BH track...
2016: Blood Purification
https://read.qxmd.com/read/26575267/buttonhole-cannulation-is-not-associated-with-more-avf-infections-in-a-low-care-satellite-dialysis-unit-a-long-term-longitudinal-study
#40
JOURNAL ARTICLE
Clémence Béchade, Tony Goovaerts, Philippe Cougnet, Laura Labriola, Michel Jadoul, Eric Goffin
BACKGROUND: Buttonhole cannulation (BHC) has been associated with a greater risk of arteriovenous fistula (AVF)-related infections and septicemia than the rope ladder cannulation (RLC) in in-center hemodialysis (HD). Such infections have never been studied in satellite HD units. STUDY DESIGN: Retrospective single center study. SETTING AND PARTICIPANT: All patients in our satellite HD unit using a native AVF from 1 January, 1990, to 31 December, 2012...
2015: PloS One
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