Spontaneous pulmonary arterial embolization: A rare complication of the silicon-based peripherally inserted central venous catheter (PICC).
Authors: Joga S, Bansal A, Talwar V, Bothra SJ, Dash P, Goel V, Koyyala VPB Abstract Peripherally inserted central catheters (PICC) are widely used in oncology for administration of chemotherapy. However, sometimes there may be complications associated with them such as infections, thrombosis and rarely fracture of catheter and embolization of the catheter fragments. Here we report a case of 59-year old gentleman with locally advanced carcinoma of head of pancreas, who had spontaneous fracture of a silicon based PICC and later migration of the catheter fragment through the heart and further into the right pulmonary...
Source: The Journal of Vascular Access - February 21, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Minimal guidewire length for central venous catheterization of the right subclavian vein: A CT-based consecutive case series.
CONCLUSION: After confirmation of a correct guidewire position, retraction of the guidewire tip above the junction of the brachiocephalic veins should be avoided prior to CVC insertion in order to preclude dislocation of the catheter tip towards the right internal jugular vein or the left subclavian vein. This study shows that many commercial over-the-wire percutaneous 15-16 cm CVC kits contain guidewires that are too short for right subclavian vein catheterization, i.e., guidewire retraction is needed prior to CVC insertion. PMID: 33586500 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 17, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Difficulty removing dialysis cuff catheter after its adhesion to the right atrium.
We describe the case of an elderly Japanese female who had experienced diabetic nephropathy since the year 20xx and had been undergoing dialysis treatment while receiving vascular access interventional therapy (VAIVT) for arteriovenous fistula (AVF) occlusion. The patient visited the clinic/hospital in 20xx+10 with the AVF occlusion; emergency VAIVT was performed but blood flow could not be resumed. The patient was not admitted and was treated as an outpatient, and thus a cuff catheter (Split stream catheter: SST28 cm, Medcomp) was inserted. An infection developed and was successfully treated with antibiotics. The d...
Source: The Journal of Vascular Access - February 17, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Vascular sound visualization system is useful for monitoring and surveillance of vascular access.
We report the clinical utility in monitoring and surveillance of VA using a newly developed electronic stethoscope and vascular sound visualization application. METHODS: One hundred eight patients participated in the study. The vascular sounds were collected using the electronic stethoscope, converted into digital data, sent wirelessly to a personal computer, and then calculated. The units for the calculated intensity of the vascular sound were decibel [dB]. The intensity, however, was normalized as INDEX values ranging from 0 to 99 for practical use. Correlation between INDEX and the mean flow volume (mFV) and resista...
Source: The Journal of Vascular Access - February 17, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Peripherally inserted central catheter (PICC) and midline: Experience in a cardiopulmonary critical care unit.
Authors: Caserta D, Pico V, Frascarelli S, Sbrana F, Formichi B PMID: 33586509 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 17, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Skin perfusion pressure for predicting access-related hand ischemia following arteriovenous fistula surgery based on the brachial artery.
This study aimed to assess the predictive efficacy of skin perfusion pressure (SPP) measurement for ARHI by examining the relationship between SPP and ARHI development and progression after AVF surgery. METHODS: Twenty-five patients (16 men and 9 women) who underwent AVF surgery based on the brachial artery between January 2018 and December 2018 were included. The pre- and postoperative SPP values were measured on the day of surgery. ARHI occurrence and severity were measured within 3 days and at 6 months after surgery. Receiver operating characteristic curve analysis was used to evaluate the prediction m...
Source: The Journal of Vascular Access - February 17, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Application and implications of a standardised reporting system for arteriovenous access graft infection.
Authors: Kingsmore D, Stevenson K, Jackson A, Richarz S, Isaak A, White B, Thomson P Abstract INTRODUCTION: The perception that arteriovenous graft infection (AVGi) is frequent and severe is not based on contemporary data from large units using modern AVG. Furthermore, older reports compounded misperceptions by using non-standardised reporting that prevents easy comparison against the alternative modalities. The aim of this article is to use a recently published reporting scheme to analyse the frequency, management and outcome of AVGi in a large series of sequential early-cannulation AVG with long-term follow-up. ...
Source: The Journal of Vascular Access - February 13, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Achieving superficial femoral venous access in a critically ill COVID-19 patient in the prone position.
Authors: Ostroff M, Ismail M, Weite T Abstract A 63-year-old obese male was admitted with acute respiratory failure secondary to COVID-19. Day 13 the patient decompensated, lapsing into a critical stage of severe acute respiratory distress syndrome, requiring immediate prone positioning. The Rapid Response Team managed the emergency intervention for intubation but was unable to establish central access with the patient in the prone position. A consult to the Vascular Access Team succeeded in establishing central catheter placement with an ultrasound-guided mid-thigh superficial femoral 55-centimeter triple lumen ca...
Source: The Journal of Vascular Access - February 13, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Hemodialysis catheter heparin lock related bleeding: Hemorrhagic shock every other day.
We report a case of hemorrhagic shock following hemodialysis catheter lock with heparin, reversed after switching solution to sodium citrate. PMID: 33570006 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 13, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Mindful organizing as a healthcare strategy to decrease catheter-associated infections in neonatal and pediatric intensive care units. A systematic review and grading recommendations (GRADE) system.
CONCLUSIONS: Despite the decreased CLABSI rate, the available evidence is low in quality. To reduce the unduly high CLABSI rates in neonatal and pediatric intensive care settings, custom-designed clinical trials should further define the clinical efficacy of MO to include it in care bundles as a new international standard. PMID: 33570016 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 13, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Creation of a dedicated line team for critically ill patients with COVID-19: A multidisciplinary approach to maximize resource utilization during the COVID-19 pandemic.
CONCLUSIONS: Primary data collected were the number and type of catheters placed, time of team member exposure to potentially infected patients, and any complications over the first three weeks. Secondary outcomes pertained to workflow enhancement and quality improvement. 145 invasive catheters were placed on 67 patients. Of these 67 patients, 90% received arterial catheters, 64% central venous catheters, and 25% hemodialysis catheters. None of the central venous catheterizations or hemodialysis catheters were associated with early complications. Arterial line malfunction due to thrombosis was the most frequent complicatio...
Source: The Journal of Vascular Access - February 7, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Intraosseous vascular access using the EZ-IO can be safely maintained in the adult proximal humerus and proximal tibia for up to 48 h: Report of a clinical study.
CONCLUSIONS: This is the first known study examining the safety of IO access over a 48-h dwell time. The study corroborates the literature findings, demonstrates device safety, and provides evidence supporting the extended indication for a dwell time to 48 h in adult patients. IO placement and infusion best practices/guidelines were confirmed or established. PMID: 33541218 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 7, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Analysis of access flow using duplex ultrasonography and the ultrasound dilutional method.
This study aimed to evaluate the correlation between duplex ultrasonography (DUS) and ultrasound dilution (UD) measurement's results and determine the factors affecting the correlation of the measured values among other clinical factors in patients. METHODS: This cross-sectional study was conducted from April 2020 to May 2020 and included 60 patients who visited our dialysis centre. The flow of the fistula was measured in the proximal brachial artery using DUS. While dialysis was performed on the same day, the access flow was measured using the UD method. The correlation and agreement between the access flows acquired ...
Source: The Journal of Vascular Access - February 4, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

The impact of a notched peripheral intravenous catheter on the first attempt success rate in hospitalized adults: Block-randomized trial.
CONCLUSION: This study was unable to reach a first attempt success of 90%, although first attempt cannulation success was higher in patients who got a notched needle inserted when compared to those who got a non-notched needle inserted, unless a patients individual risk profile for a difficult intravenous access. PMID: 33530828 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 4, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Chronic vertebro-jugular arteriovenous Fistula secondary to hemodialysis catheterization: A case report.
This report depicts a case of 21-year-old male patient who underwent central venous catheterization for hemodialysis over 10 years ago and was detected with a vertebrojugular arteriovenous fistula. This report depicts a case of 21-year-old male patient who detected with a vertebrojugular arteriovenous fistula after 10 years of hemodialysis through central venous catheterization. The surgical treatment was successfully performed. PMID: 33530835 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 4, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Age is just a number: Is frailty being ignored in vascular access planning for dialysis?
Authors: Kuningas K, Inston N Abstract Current international guidelines advocate fistula creation as first choice for vascular access in haemodialysis patients, however, there have been suggestions that in certain groups of patients, in particular the elderly, a more tailored approach is needed. The prevalence of more senior individuals receiving renal replacement therapy has increased in recent years and therefore including patient age in decision making regarding choice of vascular access for dialysis has gained more relevance. However, it seems that age is being used as a surrogate for overall clinical condition...
Source: The Journal of Vascular Access - February 3, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

The epidemiology of central venous catheter-related bloodstream infection in our renal units is changing.
Authors: Mandolfo S, Anesi A, Rognoni V Abstract Recent reports have shown an increase in the rate of Gram-negative bacteremia in several settings, including catheter-related bloodstream infections (CRBSI). To analyze if the epidemiology of CRBSI is also changing in hemodialysis patients, we revisited the etiology of CRBSIs in our renal unit over 8 years. During the observed periods, 149 episodes of CRBSIs were reported and the CRBSI incidence rate, ranged between 0.67 and 0.82 episodes/1000 tCVC days. Of these 149 episodes, 84 (56.3%) were due to Gram-positive bacteria, 62 (41.6%) to Gram-negative bacteria,...
Source: The Journal of Vascular Access - January 29, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Technical success and safety of peripherally inserted central catheters in the great saphenous and anterior accessory great saphenous veins.
CONCLUSION: Due to a high complication rate, GSV/AAGSV PICC placement should be considered only when upper extremity or cervical PICC placement is not feasible or contraindicated. PMID: 33499716 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 29, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Systemic thrombolysis and anticoagulation therapy for catheter-related right atrial thrombosis caused by TIVAP: A case report and review of the literature.
CONCLUSIONS: Systemic thrombolysis and anticoagulation therapy seemed to be safe and effective for asymptomatic patients who had TIVAP-induced CRAT. We should position the catheter tip at the junction of the Superior Vena Cava with the Right Atrium during the implantation procedure in cancer patients undergoing chemotherapy. PMID: 33506722 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 29, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

WoCoVA consensus on the clinical use of in-line filtration during intravenous infusions: Current evidence and recommendations for future research.
Authors: Van Boxtel T, Pittiruti M, Arkema A, Ball P, Barone G, Bertoglio S, Biffi R, Dupont C, Fonzo-Christe C, Foster J, Jones M, Keck C, Ray-Barruel G, Sasse M, Scoppettuolo G, Van Den Hoogen A, Villa G, Hadaway L, Ryder M, Schears G, Stone J Abstract The need for filtering intravenous infusions has long been recognized in the field of venous access, though hard scientific evidence about the actual indications for in-line filters has been scarce. In the last few years, several papers and a few clinical studies have raised again this issue, suggesting that the time has come for a proper definition of the type of ...
Source: The Journal of Vascular Access - January 29, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Outcomes of tunneled cuffed hemodialysis catheters: An experience from a tertiary care center in Karachi, Pakistan.
CONCLUSION: TCCs, though associated with complications particularly CRBSI, are a viable option for short- to intermediate-term use for HD till the maturation of permanent arteriovenous access in a limited-resource setting. PMID: 33487073 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 26, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

The Pre-dilatation of vessels: A simple method to recruit small caliber veins for creating distal fistulas.
Authors: Napoli M, Zito A, Lefons ML, Ria P, Ferramosca E, Martella V, Caterina CM, Sozzo E, De Pascalis A Abstract Maturation failure remains a major clinical problem of distal arteriovenous fistula (AVF). Early failure (EF) is associated with the small size of the veins. For about 10 years we have used in more than 1000 fistulas, the Vessels Pre-Dilatation (VPD) to increase the recruitment of small veins for creating distal AVFs. The purpose of this study is to highlight if the VPD can reduce the incidence of EF or failure to mature (FTM) in AVFs created with small veins. Data of all the consecutive patien...
Source: The Journal of Vascular Access - January 25, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

PATENCY-2 trial of vonapanitase to promote radiocephalic fistula use for hemodialysis and secondary patency.
CONCLUSIONS: Vonapanitase treatment did not achieve clinical or statistical significance to meaningfully improve radiocephalic fistula surgical outcomes. Outcome in the placebo group were better than in historical controls. Vonapanitase was well-tolerated and safe. TRIAL REGISTRATION: clinicaltrials.gov: NCT02414841 (https://clinicaltrials.gov/ct2/show/NCT02414841). PMID: 33482699 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 25, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Echo-guided hydrodissection with local anesthetic to create a TICVAD pocket.
Authors: Longo F, De Caris F, Piliego C, Claps F, Martuscelli M, Agrò FE PMID: 33482703 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 25, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Combined transposition of brachial and basilic vein: Response to "Percutaneous creation of proximal radio-radial arteriovenous hemodialysis fistula before secondary brachial vein elevation. J Vasc Access. 2020; doi: 10.1177/1129729820936921".
Combined transposition of brachial and basilic vein: Response to "Percutaneous creation of proximal radio-radial arteriovenous hemodialysis fistula before secondary brachial vein elevation. J Vasc Access. 2020; doi: 10.1177/1129729820936921". J Vasc Access. 2021 Jan 22;:1129729821989163 Authors: Georgakarakos E, Keskinis C, Fiska A PMID: 33482705 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 25, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Embolization to great saphenous vein; a rare complication of port catheter migration.
Authors: Fuente R, Herrero M, Moradillo N, Agúndez I PMID: 33482707 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 25, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound guided peripheral IV placement: An observational study of the learning curve in pediatric patients.
CONCLUSION: After training, 40% of participants adopted USGPIV into their practice. When developing training programs for USGPIV for children with difficult access, trainers can anticipate the experience needed to acquire this skill and the fact that not everyone trained will use this skill in their daily practice. PMID: 33467970 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 22, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Comparing catheter related bloodstream infection rate between cuffed tunnelled and non-cuffed tunnelled peripherally inserted central catheter.
CONCLUSIONS: Cuffed PICC does not further reduce the rate of local or bloodstream infection. Tunnelled non-cuffed PICC is shown to be as effective if not better at reducing risk of CRBSI and providing longer catheter dwell time compared to cuffed PICC. PMID: 33438482 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 15, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Retained port connectors after central venous port removal.
We report three cases where the connector/sleeve, which helps fix the flexible catheter section to a port injection chamber, was inadvertently left in scar tissue during port removal. Concerned patients presented months later with a palpable subcutaneous nodule, near the port site. The nodules were variably imaged with plain X-rays, mammography or ultrasound with the diagnosis correctly made by a surgeon familiar with devices. Two connectors were removed, and one was left in place following discussions with the patient. Prevention, recognition and management of this problem are discussed. PMID: 33438487 [PubMed - as su...
Source: The Journal of Vascular Access - January 15, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Arterial diameter following arteriovenous fistula creation predicts aneurysm progression.
CONCLUSION: AVF aneurysms are a later complication in access natural history and AD may help to predict their progression. PMID: 33438488 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 15, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Evaluation of the difficulty of peripheral venous cannulation during anesthesia induction in children: Is DIVA score sufficient?
CONCLUSION: The success rate of anesthesiologist-performed PIVA at the first attempt in the OR was 75.3%. Having a chronic disease, a DIVA score ⩾4 and being underweight appeared as the independent predictors for difficult PIVA. PMID: 33438490 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 15, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

A narrative systematic review of randomised controlled trials that compare cannulation techniques for haemodialysis.
CONCLUSION: Current evidence does not allow definitive conclusions as to whether buttonhole or rope ladder needling technique is superior. Future RCTs should describe interventions and comparators with adequate detail, embed process evaluation, use standardised outcome measures and build on feasibility studies to produce definitive results. PMID: 33427013 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 12, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound-guided supraclavicular nerve block for implantable port catheters: Does it show a significant difference in pain control?
CONCLUSIONS: The VAS scores did not differ significantly between groups. Although a supraclavicular nerve block may require lower local anesthetic doses for similar cutaneous anesthesia, it is associated with higher immediate complication rates due to unintended blockade of the peripheral nerves. Thus, if the nerve block is preferred over local infiltration anesthesia during port implantation, to prevent life-threatening complications, caution needed especially for the patients with contralateral vocal cord or diaphragm paralysis. PMID: 33413021 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 9, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Basilic transposition versus upper extremity AV grafts: Patency should not be the only outcome of interest when comparing the two different access procedures.
Authors: Lazarides MK, Georgiadis GS PMID: 33413023 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 9, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Transesophageal echocardiography guided optimal positioning of central venous catheter tip in superior vena cava during surgical repair of sinus venosus atrial septal defect.
We describe a case of SVC type SVASD, where the SVC-right pulmonary artery crossing point imaged on transesophageal echocardiography was used as an echocardiographic landmark for optimal positioning of the CVC tip. PMID: 33413025 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 9, 2021 Category: Surgery Tags: J Vasc Access Source Type: research

Agreement between physical and ultrasound examination for arteriovenous fistula maturation diagnostics in Thai hemodialysis patients.
This study examined the significance of these US criteria on the physical AVF maturation in Thai. METHODS: Fifty CKD patients, operated brachiocephalic AVF, were enrolled and examined on the operative day and 6 weeks afterwards. PE was evaluated by an experienced vascular surgeon, and US measurements were obtained by an experienced US technologist. Matching mature number between US criteria and PE was computed using McNemar test. Agreement between US criteria and PE was measured using Kappa. Mature and immature discrimination were evaluated by the Receiver Operator Characteristics (ROC) curve and Youden index. ...
Source: The Journal of Vascular Access - December 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Arterio-venous fistula surgery can be safely delivered in the COVID-19 pandemic era.
Authors: Khalid U, Ilham MA, Szabo L, Saunders E, McMillan S, Stephens MR PMID: 33356795 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Use of intracavitary-ECG for tip location of femorally inserted central catheters.
Authors: Weber MD, Himebauch AS, Conlon T Abstract Femorally inserted central catheters (FICCs) are frequently required for central access in children. Ultrasound can accurately locate the catheter tip in most cases and its use is increasing in clinical vascular access practice. In patients with poor acoustic windows, intracavitary electrocardiogram (IC-ECG) is an alternative to ultrasound-guidance for FICC positioning. A case series of three patients demonstrate methods of FICC positioning in children. The first patient had excellent acoustic windows and ultrasound-guided FICC positioning is described in conjuncti...
Source: The Journal of Vascular Access - December 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Impact assessment following implementation of a vascular access team.
CONCLUSION: Low complication rates and high overall satisfaction scores in patients and professionals were observed, showing that a specialist VAT can have a positive impact in the insertion of PICCs and which also has a clear economic benefit. PMID: 33356810 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Clot accumulation at the tip of hemodialysis catheters in a large animal model.
CONCLUSION: The Pristine hemodialysis catheter was largely superior to a standard side hole catheter in impeding clot formation, and, contrary to the side hole catheter, allowed for complete aspiration of the intraluminal clot. PMID: 33356813 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Evaluation of the antithrombogenicity of poly-2-methoxyethylacrylate-coated catheters.
CONCLUSIONS: The present findings demonstrated the antithrombogenicity of PMEA-coated catheters in circulating human blood. PMID: 33356882 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

A preoperative modified Allen test result may be associated with long term mortality after hemodialysis access construction.
CONCLUSIONS: A large drop in systolic finger pressure during a preoperative MAT is related to mortality after primary HD access surgery. The role of this potential novel risk parameter requires confirmation in a larger population. PMID: 33353463 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 29, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Comparison of 12-cm versus 6-cm long peripheral catheters in patients with difficult intravenous access (DIVA).
CONCLUSION: The frequency of complications was more common with 6,4 cm than with 12 cm catheter. PMID: 33349111 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Catheter-related venous thrombosis in NICU: A case-control retrospective study.
CONCLUSION: Vein catheterization, asphyxia, infection, and prolonged CVC use are critical risk factors for thrombosis in the neonatal period. Given the hereinbefore mentioned increased number of central line catheterizations in the NICU, it would be useful to conduct a prospective study with a scheduled routine ultrasound protocol applied not only as a tool to diagnose thrombosis but also to prevent it by determining a proper catheter for a particular vein. PMID: 33349116 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Hybrid angioplasty-catheter placement procedure performed in a hemodialysis patient with central venous obstruction disease. Presentation of a case.
Authors: Ptohis N, Theodoridis PG, Raftopoulos I Abstract Obstruction or occlusion of the central veins (Central venous disease, CVD) represents a major complication in hemodialysis patients (HD) limiting central venous access available for a central venous catheter placement. Endovascular treatment with percutaneous transluminal angioplasty (PTA) is the first therapeutic option to restore patency and gain access. This case presents our initial experience of a HD patient with CVD treated with a combination therapy of a balloon PTA to the left brachiocephalic trunk, through the right hepatic vein and standard cathet...
Source: The Journal of Vascular Access - December 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Hemodynamic impact of VASQ device in vascular access creation.
CONCLUSION: The analysis of these data suggested that using VasQ device could be protective against the hemodynamic modification that occur during arteriovenous fistulae creation. PMID: 33349129 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Bent peripheral venous catheter inserted using ultrasound-guided dynamic needle tip positioning.
Authors: Takeshita J, Tachibana K, Nakajima Y, Shime N Abstract Herein, we report the case of a 2-year-old boy in whom a bent peripheral venous catheter was inserted using ultrasound-guided dynamic needle tip positioning via a short-axis out-of-plane approach. The peripheral venous catheter appeared to be successfully inserted into the cephalic vein in the forearm using dynamic needle tip positioning via a short-axis out-of-plane approach. However, after removing the inner needle, no blood return was confirmed. The removed catheter was noted to be bent at approximately one-third of the catheter length from the tip....
Source: The Journal of Vascular Access - December 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Conventional central venous catheters as tunnelled mid-clavicular midline catheters: Description of novel application and outcome analysis.
CONCLUSION: Conventional Central Venous Catheters can be effectively used as tunnelled Midclavicular midline catheters in low resource settings. The successful outcome analysis has to be confirmed by larger studies. PMID: 33349144 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

A systematic review of the brachial vein arteriovenous fistulas as a viable option for haemodialysis access.
CONCLUSION: Available studies support the use of brachial veins as a reliable access option in patients with non-accessible superficial veins where an autologous option is required. PMID: 33349146 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Applicability of left distal radial artery access site in ST-segment elevation myocardial infarction; A comparative evaluation with the conventional transfemoral approach.
Authors: Soydan E, Akın M Abstract BACKGROUND: Left distal radial artery (LDRA) has got high popularity as an alternative safe access site in coronary angiography. However, little is known about its applicability in primary percutaneous coronary intervention (PPCI) in ST-segment elevation myocardial infarction (STEMI) patients. We aimed to assess the convenience of LDRA access in STEMI patients and make the comparative evaluation with the transfemoral (TF) route. MATERIALS AND METHODS: A total of 91 consecutive STEMI patients who underwent PPCI from January to June 2019, were analyzed. Experienced operators, u...
Source: The Journal of Vascular Access - December 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research