keyword
https://read.qxmd.com/read/37734680/compliance-with-good-practice-guidelines-for-the-prevention-of-vascular-access-infections-the-multicentre-phydel-survey-in-french-haemodialysis-units
#21
JOURNAL ARTICLE
Philbert Habihirwe, Hélène Marini, Blandine Wurtz, Thomas Vermeulin, Marion Lottin, Jean François Gehanno, Ludivine Boulet, Hervé Vergnes, Stéphane Edet, Laurence Guet, Frank Le Roy, Véronique Merle
BACKGROUND: French guidelines for the prevention of vascular access infections in a haemodialysis setting were released in 2005. Compliance with these guidelines is currently unknown. Our aim was to assess compliance with guidelines for vascular access infection prevention in French haemodialysis units, and to describe the difficulties reported. METHODS: A cross-sectional survey was conducted between March and December 2019 in 200 haemodialysis units randomly selected in France...
September 19, 2023: Journal of Hospital Infection
https://read.qxmd.com/read/37704969/improving-assessment-and-escalation-of-threatened-haemodialysis-access-results-of-a-nursing-led-program
#22
JOURNAL ARTICLE
Dana Forcey, Dan Tran, Jenny Connor, Piriya Kusuma Na Ayudhya, Christian Ocampo, Craig Nelson, Sandra Crikis
BACKGROUND: Optimal vascular access is critical to successful haemodialysis. Acute thrombosis of haemodialysis access often leads to unplanned hospital admissions and interventions to restore patency. Western Health is a large health service in Victoria, Australia. During the period February 2019 to January 2020, the rate of arteriovenous fistula (AVF) and arteriovenous graft (AVG) at Western Health satellite dialysis units was 0.33 episodes per 1000 patient-days, higher than the reported rate in the literature of 0...
September 13, 2023: BMC Nephrology
https://read.qxmd.com/read/37661364/nurses-perceptions-of-point-of-care-ultrasound-for-haemodialysis-access-assessment-and-guided-cannulation-a-qualitative-study
#23
JOURNAL ARTICLE
Monica Schoch, Paul N Bennett, Judy Currey, Alison M Hutchinson
AIM: To explore nurses' perceptions of using point-of-care ultrasound for assessment and guided cannulation in the haemodialysis setting. BACKGROUND: Cannulation of arteriovenous fistulae is necessary to perform haemodialysis. Damage to the arteriovenous fistula is a frequent complication, resulting in poor patient outcomes and increased healthcare costs. Point-of-care ultrasound-guided cannulation can reduce the risk of such damage and mitigate further vessel deterioration...
September 3, 2023: Journal of Clinical Nursing
https://read.qxmd.com/read/37659740/inflow-artery-aneurysmal-degeneration-after-long-term-native-arteriovenous-fistula-for-haemodialysis
#24
JOURNAL ARTICLE
Gaspar Mestres, Fabricio Barahona, Xavier Yugueros, Victoria Gamé, Daniel Gil, Carla Blanco, Nestor Fontseré, Vincent Riambau
OBJECTIVE: Inflow arterial aneurysms are a rare but serious complication after long term arteriovenous fistulae (AVF), probably due to arterial wall remodelling after an increase in flow and shear stress, and kidney transplant with immunosuppressive therapy. This study aimed to describe the outcomes of surgical treatment and long term follow up in a large cohort. METHODS: This prospective cohort study collected data from patients with true inflow artery aneurysm after AVF creation that was surgically repaired between 2010 and 2022...
August 31, 2023: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/37651553/interventions-for-fatigue-in-people-with-kidney-failure-requiring-dialysis
#25
REVIEW
Patrizia Natale, Angela Ju, Giovanni Fm Strippoli, Jonathan C Craig, Valeria M Saglimbene, Mark L Unruh, Giovanni Stallone, Allison Jaure
BACKGROUND: Fatigue is a common and debilitating symptom in people receiving dialysis that is associated with an increased risk of death, cardiovascular disease and depression. Fatigue can also impair quality of life (QoL) and the ability to participate in daily activities. Fatigue has been established by patients, caregivers and health professionals as a core outcome for haemodialysis (HD). OBJECTIVES: We aimed to evaluate the effects of pharmacological and non-pharmacological interventions on fatigue in people with kidney failure receiving dialysis, including HD and peritoneal dialysis (PD), including any setting and frequency of the dialysis treatment...
August 31, 2023: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/37638715/the-effect-of-early-conversion-from-central-venous-catheter-to-arteriovenous-fistula-on-hospitalization-and-mortality-in-incident-haemodialysis-patients
#26
JOURNAL ARTICLE
Wenyuan Gan, Fan Zhu, Huihui Mao, Wei Xiao, Wenli Chen, Xingruo Zeng
BACKGROUND: Controversy remains as to whether initiating haemodialysis (HD) with a central venous catheter (CVC) and vascular access conversion are associated with the risk of morbidity and mortality in incident HD patients. METHODS: At our dialysis centre, the vascular access strategy is to create an arteriovenous fistula (AVF) early and use the AVF to initiate HD. In emergency situations, HD is initiated with a CVC and subsequent conversion from a CVC to an AVF as soon as possible...
August 28, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37622472/evaluation-of-point-of-care-ultrasound-pocus-training-on-arteriovenous-access-assessment-and-cannula-placement-for-haemodialysis
#27
JOURNAL ARTICLE
Kathleen Hill, Ashleigh Jaensch, Jessie Childs, Stephen McDonald
BACKGROUND: Haemodialysis requires a permanent vascular access and relies on cannulation with two large bore needles. Point Of Care Ultrasound (POCUS) is a tool that may assist nursing staff with visualising cannula placement and prevent miscannulation. This can be particularly useful in regional hospitals with limited access to vascular access specialists. AIMS: To examine the impact of POCUS provision and education for nursing staff on confidence in cannulation and to understand the patient experience at three regional hospital haemodialysis units in South Australia...
August 25, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37595018/effect-of-insertion-site-on-tunnelled-haemodialysis-catheter-outcomes-an-observational-study-of-967-catheters
#28
JOURNAL ARTICLE
Julian Yaxley, Ryan Gately, Tahira Scott, Jagadeesh Kurtkoti, Murty Mantha
BACKGROUND: The right internal jugular vein is the preferred approach to tunnelled haemodialysis catheter placement. However, the effect of the insertion site on long-term catheter outcomes remains uncertain. AIMS: We aimed to analyse a large cohort of tunnelled haemodialysis catheter placements to compare short-term and long-term results according to central venous catheter location. METHODS: A retrospective cohort study was performed on consecutive tunnelled catheter insertions at two centres over 7 years...
August 18, 2023: Internal Medicine Journal
https://read.qxmd.com/read/37548039/non-cuffed-central-venous-catheter-for-unplanned-and-urgent-start-haemodialysis-in-chronic-kidney-disease-a-multi-centre-experience-from-india
#29
JOURNAL ARTICLE
Subrahmanian Sathiavageesan, Balamurugan Swaminathan, Murugan Myvizhiselvi, Gopalakrishnan Ramakrishnan, Ramprasad Elumalai
BACKGROUND: Central Venous Catheter (CVC) is indispensable to unplanned and urgent start haemodialysis in chronic kidney disease (CKD). While cuffed CVC is preferred to non-cuffed CVC for urgent start haemodialysis, patient's clinical condition might warrant immediate insertion of non-cuffed CVC. In the resource poor setting, non-cuffed CVCs might have to be retained longer than guideline recommended limit of 2 weeks. In this multi-centre retrospective observational study, the real-world survival of non-cuffed CVC was assessed among CKD patients who initiated dialysis urgently...
August 7, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37528666/evaluation-of-factors-associated-with-bleeding-following-haemodialysis-catheter-related-procedures-and-the-risk-with-anti-platelet-agents
#30
JOURNAL ARTICLE
Sreekanth Koduri, Gareth Yeow Keng Chionh, Jien-Yi Khaw, Shaohui Foong, Chang Yin Chionh
BACKGROUND: Bleeding is a potential complication following haemodialysis catheter-related procedures. Besides uraemia, bleeding risk is perceived to be even higher in patients receiving antiplatelets. This study aims to evaluate the risk factors for bleeding following dialysis catheter-related procedures. METHODS: This is a secondary analysis of a single-centre, prospective cohort study between March 2019 and June 2020. Potential risk factors for bleeding were collected, including use of antiplatelets and anticoagulants, serum urea and haematological results...
August 1, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37526912/the-impact-of-vascular-access-type-on-survival-in-haemodialysis-time-for-a-paradigm-shift-a-prospective-cohort-study
#31
JOURNAL ARTICLE
Maria Paparella, Matthias Cassia, Rossella De Leonardis, Mario Cozzolino
INTRODUCTION: Although arteriovenous autologous fistula is the vascular access of choice due to better long-term outcome than central venous catheters, the use of central venous catheters is increasing. Our study aims to describe the survival and epidemiological features of a cohort of dialysis patients with a focus on the role of vascular access. METHODS: Our study comprises a follow-up period from 2001 to 2020 in a single center. Descriptive analysis was performed on baseline data...
August 1, 2023: Journal of Nephrology
https://read.qxmd.com/read/37522056/outcomes-of-arteriovenous-graft-vs-fistula-for-haemodialysis-access-in-the-elderly-a-systematic-review-and-meta%C3%A2-analysis
#32
JOURNAL ARTICLE
Jia Li, Hua Lu, Zhen Xie, Qingchao Li, Hongguang Shi
The impact of the type of vascular access on the outcomes in the elderly haemodialysis patients is still unclear. The goal of the present study was to compare survival outcomes in elderly haemodialysis patients who received either arteriovenous graft (AVG) or arteriovenous fistula (AVF). A systematic literature search was performed in EMBASE, Cochrane, MEDLINE, ScienceDirect and Google Scholar databases for papers published from January 1954 until January 2022. Risk of bias in the selected publications was assessed by Newcastle Ottawa scale or Cochrane risk of bias tool depending on the study design...
August 2023: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/37493064/a-scoping-review-of-outcomes-with-routine-surveillance-of-arterio-venous-fistulas
#33
JOURNAL ARTICLE
Leanne M Evans, Rajesh Raj
The arteriovenous fistula (AVF) is the preferred venous access for maintenance haemodialysis. AVF dysfunction can progress to access failure, with all the associated morbidity and costs of revising vascular accesses. Routine surveillance of AVFs using specialised equipment has the potential to enable early detection of potential problems. The KDOQI Clinical Practice Guidelines for Vascular Access: Update 2019 suggest that surveillance may be useful to supplement regular clinical monitoring but acknowledge a lack of evidence to make firm recommendations...
July 26, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37489691/complications-of-arterio-venous-fistula-in-patients-undergoing-haemodialysis
#34
JOURNAL ARTICLE
Krishna Kumar Agrawaal
BACKGROUND: Vascular access is required for hemodialysis and arterio-venous fistula is the preferred access. Various guidelines have recommended monitoring and surveillance of arterio-venous fistula as the standard of care. This study looked into usefulness of clinical examination to detect complications of arterio-venous fistula. METHODS: The study was conducted in the from February 2022 till September 2022 under Nephrology unit, Departement of Internal Medicine at Universal College of Medical Sciences...
July 20, 2023: Journal of Nepal Health Research Council
https://read.qxmd.com/read/37474007/effect-of-intensive-training-and-education-of-health-care-workers-on-the-maintenance-bundle-of-venous-access-devices-in-critically-ill-patients-at-a-tertiary-care-academic-hospital
#35
JOURNAL ARTICLE
Rubina Sharma, Komal A Gandhi, Manisha Biswal, Kulbeer Kaur, Neeru Sahni, Laxminarayana Yaddanapudi
BACKGROUND: The maintenance bundle of care for all venous access devices (peripheral intravenous catheters, PIVC; central venous catheters, CVCs; hemodialysis ports) is important to prevent secondary sepsis in critically ill patients. This quality improvement project analyzed the effect of intensive training and education of health care workers (HCWs) on maintenance bundles for venous access devices. METHODS: The study period comprising of preintervention phase (3-months) included 25 random visits to the intensive care unit for point observations regarding maintenance of all venous access devices in-situ in all intensive care unit patients on the day of the visit...
July 19, 2023: American Journal of Infection Control
https://read.qxmd.com/read/37463647/duplex-ultrasound-guided-angioplasty-of-hemodialysis-vascular-access
#36
JOURNAL ARTICLE
Fabrice Abbadie, George Kosmadakis, Didier Aguilera, Aurélien Piraud
OBJECTIVE: Duplex ultrasound-guided angioplasty (DA) for hemodialysis vascular accesses remains questionable regarding its feasibility and safety. Minor complications (requiring no more treatment than nominal therapy) might be over-reported. Our hypothesis is that this procedure has no significant differences between observed rates and the recommended threshold of main outcomes of the procedure defined by the standards of arteriovenous fistulas (AVF) angioplasty. METHODS: In a single-center retrospective study, 298 DA performed on 141 patients from 2015 to 2019 were analyzed...
July 16, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37446003/building-a-scaffold-for-arteriovenous-fistula-maturation-unravelling-the-role-of-the-extracellular-matrix
#37
REVIEW
Suzanne L Laboyrie, Margreet R de Vries, Roel Bijkerk, Joris I Rotmans
Vascular access is the lifeline for patients receiving haemodialysis as kidney replacement therapy. As a surgically created arteriovenous fistula (AVF) provides a high-flow conduit suitable for cannulation, it remains the vascular access of choice. In order to use an AVF successfully, the luminal diameter and the vessel wall of the venous outflow tract have to increase. This process is referred to as AVF maturation. AVF non-maturation is an important limitation of AVFs that contributes to their poor primary patency rates...
June 28, 2023: International Journal of Molecular Sciences
https://read.qxmd.com/read/37440346/a-urokinase-associated-outbreak-of-ralstonia-mannitolilytica-bloodstream-infections-in-haemodialysis-patients-in-north-eastern-italy-january-to-april-2023
#38
JOURNAL ARTICLE
Massimiliano Fabricci, Anaïs Trinca, Luca Talotti, Marina Busetti, Emmanouil Alexandros Fotakis, Christina Merakou, Raffaella Koncan, Annachiara Ghiotti, Camilla Negri, Vittorio Di Maso, Manuela Bosco, Alberto Antonelli, Marco Coppi, Gian Maria Rossolini, Claudia Giuliani, Enrico Scarpis, Barbara Gregoretti, Danilo Licastro, Roberto Luzzati, Venera Costantino
An outbreak of Ralstonia mannitolilytica bloodstream infections occurred in four hospitals in north-eastern Italy, involving 20 haemodialysis patients with tunnelled central vascular catheter access. We identified as the outbreak source a batch of urokinase vials imported from India contaminated with R. mannitolilytica. Whole genome sequences of the clinical and urokinase strains were highly related, and only urokinase-treated patients were reported with R. mannitolilytica infections (attack rate = 34%; 95% confidence interval: 22...
July 2023: Euro Surveillance
https://read.qxmd.com/read/37419647/quality-assurance-in-surgical-trials-of-arteriovenous-grafts-for-haemodialysis-protocol-for-a-systematic-review
#39
JOURNAL ARTICLE
Ben Edgar, David B Kingsmore, Emma Aitken, Francis Calder, Marco Franchin, Colin Geddes, Nick Inston, Andrew Jackson, Rob G Jones, Nikolaos Karydis, Ram Kasthuri, Gaspar Mestres, Georgios Papadakis, Rajesh Sivaprakasam, Mike Stephens, Karen Stevenson, Callum Stove, Lazslo Szabo, Peter Thomson, Matteo Tozzi, Richard D White
INTRODUCTION: Decisions regarding the optimal vascular access for haemodialysis patients are becoming increasingly complex, and the provision of vascular access is open to variations in systems of care as well as surgical experience and practice. Two main surgical options are recognised: arteriovenous fistula and arteriovenous graft (AVG). All recommendations regarding AVG are based on a limited number of randomised controlled trials (RCTs). It is essential that when considering an RCT of a surgical procedure, an appropriate definition of quality assurance (QA) is made for both the new approach and the comparator, otherwise replication of results or implementation into clinical practice may differ from published results...
July 7, 2023: BMJ Open
https://read.qxmd.com/read/37376784/intrastent-herograft-deployment-as-a-catheter-sparing-procedure
#40
JOURNAL ARTICLE
Carlos Veterano, Henrique Guedes da Rocha, Paulo Almeida, Duarte Rego, Pedro Sá Pinto, Rui Almeida
Current vascular access (VA) practice adopts arteriovenous fistulas (AVF) as first option for haemodialysis, relegating arteriovenous grafts (AVG) for patients with exhausted upper limb venous patrimony. The Hemodialysis Reliable Outflow graft (HeRO® ) is a device assuring direct venous outflow to the right atrium, thus avoiding central venous obstructive disease. Its use together with early access grafts avoids the need for central venous catheters (CVC) bridging periods. We report the deployment of the HeRO device using a previous stentgraft as pathway for the placement of the outflow component, in a patient with no-option for further autogenous upper limb access...
June 27, 2023: Journal of Vascular Access
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