Transposition of the superficial femoral artery combined with ultrasound-guided returning-venous cannulation as a last resort for vascular access in a multi-complicated hemodialysis patient
J Vasc Access. 2021 Jun 6:11297298211023288. doi: 10.1177/11297298211023288. Online ahead of print.ABSTRACTA superficialized artery as a blood-drawing route could be an option for vascular access (VA) in hemodialysis patients with cardiac failure, vessel damage, steal syndrome, and venous hypertension, and it could be a secondary VA option in those with repetitive vascular access troubles, routinely requiring a blood-returning venous route. The brachial artery is preferably used for superficialization due to the benefit of its appropriate diameter for cannulation, procedural ease of surgery under local anesthesia, and usab...
Source: The Journal of Vascular Access - June 7, 2021 Category: Surgery Authors: Hiroaki Matsuda Yoshinari Oka Nozomu Otaka Kazufumi Sakurama Shigeko Takatsu Masashi Miyazaki Source Type: research

Peripheral central catheter insertion in low eGFR patients: Retrospective single institution study
J Vasc Access. 2021 Jun 6:11297298211023284. doi: 10.1177/11297298211023284. Online ahead of print.ABSTRACTPURPOSE: To identify the rate of Peripherally Inserted Central Catheter (PICC) placement in patients with chronic kidney disease (CKD), stage 3B or higher (glomerular filtration rate (eGFR) 45 mL/min/1.73 m2 (632/1985, 31.8%) (p-value 45 who required dialysis in the year post insertion (39/1347, 2.9%) (p
Source: The Journal of Vascular Access - June 7, 2021 Category: Surgery Authors: Khalid Othman Shaima Abdulrahman Refaat Salman Asma Al Harbi Wafa Al Malik Mohammad Arabi Source Type: research

An ultrasound-based technique in the management of totally implantable venous access devices with persistent withdrawal occlusion
J Vasc Access. 2021 Jun 6:11297298211023275. doi: 10.1177/11297298211023275. Online ahead of print.ABSTRACTPersistent withdrawal occlusion is a specific catheter malfunction characterized by inability to withdraw blood through the device while infusion is maintained. The main causes are fibroblastic sleeve and tip malposition (associated or not to venous thrombosis around the tip). All current guidelines recommend infusing vesicant/antiblastic drugs through a central venous port only after assessment of blood return. In PWO, blood return is impossible. We have recently started to assess the intravascular position of the ti...
Source: The Journal of Vascular Access - June 7, 2021 Category: Surgery Authors: Sonia D'Arrigo Maria Giuseppina Annetta Mauro Pittiruti Source Type: research

Ultrasound guidance versus conventional technique for radial artery puncture in septic shock patients: A pilot study
CONCLUSION: The US-guided method has been found to be more successful in terms of first entry success, the number of attempts before success, and the time to success when compared to the conventional method.PMID:34096389 | DOI:10.1177/11297298211023299 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 7, 2021 Category: Surgery Authors: Avni Uygar Seyhan Rohat Ak Source Type: research

Transposition of the superficial femoral artery combined with ultrasound-guided returning-venous cannulation as a last resort for vascular access in a multi-complicated hemodialysis patient
J Vasc Access. 2021 Jun 6:11297298211023288. doi: 10.1177/11297298211023288. Online ahead of print.ABSTRACTA superficialized artery as a blood-drawing route could be an option for vascular access (VA) in hemodialysis patients with cardiac failure, vessel damage, steal syndrome, and venous hypertension, and it could be a secondary VA option in those with repetitive vascular access troubles, routinely requiring a blood-returning venous route. The brachial artery is preferably used for superficialization due to the benefit of its appropriate diameter for cannulation, procedural ease of surgery under local anesthesia, and usab...
Source: The Journal of Vascular Access - June 7, 2021 Category: Surgery Authors: Hiroaki Matsuda Yoshinari Oka Nozomu Otaka Kazufumi Sakurama Shigeko Takatsu Masashi Miyazaki Source Type: research

Peripheral central catheter insertion in low eGFR patients: Retrospective single institution study
J Vasc Access. 2021 Jun 6:11297298211023284. doi: 10.1177/11297298211023284. Online ahead of print.ABSTRACTPURPOSE: To identify the rate of Peripherally Inserted Central Catheter (PICC) placement in patients with chronic kidney disease (CKD), stage 3B or higher (glomerular filtration rate (eGFR) 45 mL/min/1.73 m2 (632/1985, 31.8%) (p-value 45 who required dialysis in the year post insertion (39/1347, 2.9%) (p
Source: The Journal of Vascular Access - June 7, 2021 Category: Surgery Authors: Khalid Othman Shaima Abdulrahman Refaat Salman Asma Al Harbi Wafa Al Malik Mohammad Arabi Source Type: research

An ultrasound-based technique in the management of totally implantable venous access devices with persistent withdrawal occlusion
J Vasc Access. 2021 Jun 6:11297298211023275. doi: 10.1177/11297298211023275. Online ahead of print.ABSTRACTPersistent withdrawal occlusion is a specific catheter malfunction characterized by inability to withdraw blood through the device while infusion is maintained. The main causes are fibroblastic sleeve and tip malposition (associated or not to venous thrombosis around the tip). All current guidelines recommend infusing vesicant/antiblastic drugs through a central venous port only after assessment of blood return. In PWO, blood return is impossible. We have recently started to assess the intravascular position of the ti...
Source: The Journal of Vascular Access - June 7, 2021 Category: Surgery Authors: Sonia D'Arrigo Maria Giuseppina Annetta Mauro Pittiruti Source Type: research

Ultrasound guidance versus conventional technique for radial artery puncture in septic shock patients: A pilot study
CONCLUSION: The US-guided method has been found to be more successful in terms of first entry success, the number of attempts before success, and the time to success when compared to the conventional method.PMID:34096389 | DOI:10.1177/11297298211023299 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 7, 2021 Category: Surgery Authors: Avni Uygar Seyhan Rohat Ak Source Type: research

European recommendations on the proper indication and use of peripheral venous access devices (the ERPIUP consensus): A WoCoVA project
J Vasc Access. 2021 Jun 4:11297298211023274. doi: 10.1177/11297298211023274. Online ahead of print.ABSTRACTSince several innovations have recently changed the criteria of choice and management of peripheral venous access (new devices, new techniques of insertion, new recommendations for maintenance), the WoCoVA Foundation (WoCoVA = World Conference on Vascular Access) has developed an international Consensus with the following objectives: to propose a clear and useful classification of the currently available peripheral venous access devices; to clarify the proper indication of central versus peripheral venous access; disc...
Source: The Journal of Vascular Access - June 5, 2021 Category: Surgery Authors: Mauro Pittiruti Ton Van Boxtel Giancarlo Scoppettuolo Peter Carr Evangelos Konstantinou Gloria Ortiz Miluy Massimo Lamperti Godelieve Alice Goossens Liz Simcock Christian Dupont Sheila Inwood Sergio Bertoglio Jackie Nicholson Fulvio Pinelli Gilda Pepe Source Type: research

Safety and effectiveness of subcutaneously anchored securement for tunneled central catheters in oncological pediatric patients: A retrospective study
CONCLUSION: In our retrospective analysis of a vast population of oncological pediatric patients with tunneled central catheters, the subcutaneously anchored securement device was tolerated very well, and it was highly effective in preventing dislodgment, both in cuffed and non-cuffed catheters.PMID:34088245 | DOI:10.1177/11297298211009364 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 5, 2021 Category: Surgery Authors: Alessandro Crocoli Cristina Martucci Luca Sidro Daniela Delle Donne Giuseppe Menna Mauro Pittiruti Maria Debora De Pasquale Luisa Strocchio Gian Luigi Natali Alessandro Inserra Source Type: research

European recommendations on the proper indication and use of peripheral venous access devices (the ERPIUP consensus): A WoCoVA project
J Vasc Access. 2021 Jun 4:11297298211023274. doi: 10.1177/11297298211023274. Online ahead of print.ABSTRACTSince several innovations have recently changed the criteria of choice and management of peripheral venous access (new devices, new techniques of insertion, new recommendations for maintenance), the WoCoVA Foundation (WoCoVA = World Conference on Vascular Access) has developed an international Consensus with the following objectives: to propose a clear and useful classification of the currently available peripheral venous access devices; to clarify the proper indication of central versus peripheral venous access; disc...
Source: The Journal of Vascular Access - June 5, 2021 Category: Surgery Authors: Mauro Pittiruti Ton Van Boxtel Giancarlo Scoppettuolo Peter Carr Evangelos Konstantinou Gloria Ortiz Miluy Massimo Lamperti Godelieve Alice Goossens Liz Simcock Christian Dupont Sheila Inwood Sergio Bertoglio Jackie Nicholson Fulvio Pinelli Gilda Pepe Source Type: research

Safety and effectiveness of subcutaneously anchored securement for tunneled central catheters in oncological pediatric patients: A retrospective study
CONCLUSION: In our retrospective analysis of a vast population of oncological pediatric patients with tunneled central catheters, the subcutaneously anchored securement device was tolerated very well, and it was highly effective in preventing dislodgment, both in cuffed and non-cuffed catheters.PMID:34088245 | DOI:10.1177/11297298211009364 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 5, 2021 Category: Surgery Authors: Alessandro Crocoli Cristina Martucci Luca Sidro Daniela Delle Donne Giuseppe Menna Mauro Pittiruti Maria Debora De Pasquale Luisa Strocchio Gian Luigi Natali Alessandro Inserra Source Type: research

European recommendations on the proper indication and use of peripheral venous access devices (the ERPIUP consensus): A WoCoVA project
J Vasc Access. 2021 Jun 4:11297298211023274. doi: 10.1177/11297298211023274. Online ahead of print.ABSTRACTSince several innovations have recently changed the criteria of choice and management of peripheral venous access (new devices, new techniques of insertion, new recommendations for maintenance), the WoCoVA Foundation (WoCoVA = World Conference on Vascular Access) has developed an international Consensus with the following objectives: to propose a clear and useful classification of the currently available peripheral venous access devices; to clarify the proper indication of central versus peripheral venous access; disc...
Source: The Journal of Vascular Access - June 5, 2021 Category: Surgery Authors: Mauro Pittiruti Ton Van Boxtel Giancarlo Scoppettuolo Peter Carr Evangelos Konstantinou Gloria Ortiz Miluy Massimo Lamperti Godelieve Alice Goossens Liz Simcock Christian Dupont Sheila Inwood Sergio Bertoglio Jackie Nicholson Fulvio Pinelli Gilda Pepe Source Type: research

Safety and effectiveness of subcutaneously anchored securement for tunneled central catheters in oncological pediatric patients: A retrospective study
CONCLUSION: In our retrospective analysis of a vast population of oncological pediatric patients with tunneled central catheters, the subcutaneously anchored securement device was tolerated very well, and it was highly effective in preventing dislodgment, both in cuffed and non-cuffed catheters.PMID:34088245 | DOI:10.1177/11297298211009364 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 5, 2021 Category: Surgery Authors: Alessandro Crocoli Cristina Martucci Luca Sidro Daniela Delle Donne Giuseppe Menna Mauro Pittiruti Maria Debora De Pasquale Luisa Strocchio Gian Luigi Natali Alessandro Inserra Source Type: research

Arteriovenous fistula as the vascular access contributes to better survival of hemodialysis patients with COVID-19 infection
CONCLUSIONS: AVFs contribute to higher survival of hemodialysis patients with COVID-19. Even in the pandemic era, end stage renal disease patients should be given the opportunity to have their vascular access properly created.PMID:34082588 | DOI:10.1177/11297298211021253 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 4, 2021 Category: Surgery Authors: Ahmet Murt Serap Yadigar Serkan Feyyaz Yalin Mevlut Tamer Dincer Ergun Parmaksiz Mehmet Riza Altiparmak Source Type: research

Comparison of ultrasound-guided femoral artery cannulation versus palpation technique in neonates undergoing cardiac surgery
In this study, we evaluated whether ultrasound-guided cannulation of the femoral artery is superior to palpation technique in neonates undergoing cardiac surgery.METHODS: Forty neonates undergoing cardiac surgery were prospectively randomized into two groups (Ultrasound group and Palpation group). Access time, number of attempts, number of successful cannulations on first attempt, success rate, number of cannulas used, inadvertent access, and complications were compared between the two groups. Cost analyses of the cannulation were performed in two groups.RESULTS: In the ultrasound group, access time for femoral artery cann...
Source: The Journal of Vascular Access - June 4, 2021 Category: Surgery Authors: Fikret Sal ık Mustafa B ıçak Source Type: research

Effectiveness of ultrasonography for peripheral catheter insertion and catheter failure prevention in visible and palpable veins
CONCLUSIONS: Using ultrasonography to all target veins might have contributed to higher success rates of catheterization and extremely low incidence of catheter failure based on objective findings. Selecting the vein with larger diameters and healthy tissue as puncture point and showing center of vessel lumen clearly using ultrasonography might have been contributed the results.PMID:34075824 | DOI:10.1177/11297298211022078 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 2, 2021 Category: Surgery Authors: Mari Abe-Doi Ryoko Murayama Chieko Komiyama Ryosuke Tateishi Hiromi Sanada Source Type: research

Plain versus paclitaxel-coated balloon angioplasty in arteriovenous fistula and graft stenosis: An umbrella review
In conclusion this overview revealed a modest benefit of using PCB angioplasty compared to plain angioplasty in AVFs and graft stenosis. No increased mortality was noticed in the PCB group.PMID:34058909 | DOI:10.1177/11297298211005290 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 1, 2021 Category: Surgery Authors: Miltos K Lazarides Eleni Christaina George A Antoniou Christos Argyriou Gregory Trypsianis George S Georgiadis Source Type: research

Comparison between autogenous brachial-brachial upper-arm elevated direct arteriovenous fistulas and prosthetic brachial-antecubital indirect forearm arteriovenous grafts
CONCLUSIONS: The primary patency and primary assisted patency rates of BVE were significantly better than those observed in AVGs, but the complication rates were similar. The appropriate procedure to provide vascular access should be determined by the individual patient's condition and the surgical skill of the operating surgeon.PMID:34058911 | DOI:10.1177/11297298211018020 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 1, 2021 Category: Surgery Authors: Hyokee Kim Sanghyun Ahn Minseob Kim Chris Tae Young Chung Kwang Woo Choi Hyunmin Ko Ahram Han Sangil Min Seung-Kee Min Jongwon Ha Source Type: research

Entrapment of fractured balloon after angioplasty in an AV access using a covered stent
We describe a case of a patient with end-stage renal disease (ESRD) on dialysis with a brachiocephalic AV fistula that had become dysfunctional. After a percutaneous angioplasty procedure during balloon withdrawal, a portion of the balloon fractured and separated due to the balloon being caught in the struts of a previously placed bare metal stent. A covered stent was used to contain the segment of the fractured balloon to the wall of the fistula. The use of a covered stent in jailing the fractured balloon to prevent further complications is not well described. This strategy may be implemented in some circumstances such as...
Source: The Journal of Vascular Access - June 1, 2021 Category: Surgery Authors: Sudarshan Krishnamurthy Nidhi Reddy Sama Ramesh Soundararajan Source Type: research

Plain versus paclitaxel-coated balloon angioplasty in arteriovenous fistula and graft stenosis: An umbrella review
In conclusion this overview revealed a modest benefit of using PCB angioplasty compared to plain angioplasty in AVFs and graft stenosis. No increased mortality was noticed in the PCB group.PMID:34058909 | DOI:10.1177/11297298211005290 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 1, 2021 Category: Surgery Authors: Miltos K Lazarides Eleni Christaina George A Antoniou Christos Argyriou Gregory Trypsianis George S Georgiadis Source Type: research

Comparison between autogenous brachial-brachial upper-arm elevated direct arteriovenous fistulas and prosthetic brachial-antecubital indirect forearm arteriovenous grafts
CONCLUSIONS: The primary patency and primary assisted patency rates of BVE were significantly better than those observed in AVGs, but the complication rates were similar. The appropriate procedure to provide vascular access should be determined by the individual patient's condition and the surgical skill of the operating surgeon.PMID:34058911 | DOI:10.1177/11297298211018020 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 1, 2021 Category: Surgery Authors: Hyokee Kim Sanghyun Ahn Minseob Kim Chris Tae Young Chung Kwang Woo Choi Hyunmin Ko Ahram Han Sangil Min Seung-Kee Min Jongwon Ha Source Type: research

Entrapment of fractured balloon after angioplasty in an AV access using a covered stent
We describe a case of a patient with end-stage renal disease (ESRD) on dialysis with a brachiocephalic AV fistula that had become dysfunctional. After a percutaneous angioplasty procedure during balloon withdrawal, a portion of the balloon fractured and separated due to the balloon being caught in the struts of a previously placed bare metal stent. A covered stent was used to contain the segment of the fractured balloon to the wall of the fistula. The use of a covered stent in jailing the fractured balloon to prevent further complications is not well described. This strategy may be implemented in some circumstances such as...
Source: The Journal of Vascular Access - June 1, 2021 Category: Surgery Authors: Sudarshan Krishnamurthy Nidhi Reddy Sama Ramesh Soundararajan Source Type: research

Salvage of the existing venotomy site and tunnel: Redeeming the "Fallen dialysis catheter"
In conclusion, the case highlights the safety of an underutilized practical approach to achieving safe and quick access for dialysis in patients with accidental loss of TDC. The technique described herein, avoids the need to select a new venotomy site, improves patient satisfaction by minimizing procedure related discomfort due to alleviating the need to create a new tunnel, and optimizes resources used for the procedure.PMID:34044658 | DOI:10.1177/11297298211018564 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 28, 2021 Category: Surgery Authors: Mukesh Sharma Tushar J Vachharajani Source Type: research

Patient-reported outcomes in hemodialysis vascular access: A call to action
J Vasc Access. 2021 May 25:11297298211018295. doi: 10.1177/11297298211018295. Online ahead of print.ABSTRACTWhile access-related dysfunction is a clear driver of clinical outcomes and costs, the full impact of vascular access dysfunction on patient experience and quality of life is not fully characterized in the literature. One way to more comprehensively characterize the patient experience from the patient perspective is through patient reported outcomes (PROs). However, the limited implementation of PROs in clinical trials, patient registries, quality measurement, and other research settings has significantly constrained...
Source: The Journal of Vascular Access - May 25, 2021 Category: Surgery Authors: Karen Woo Robert Fuld Amanda Grandinetti Jeffrey Lawson Terry Litchfield Mark Ohan John Devin Peipert Matthew B Rivara Glenda Roberts Prabir Roy-Chaudhury Margo Underwood Robert J Nordyke Source Type: research

Clinical outcomes of transposed brachial-basilic vein fistula: Tunneling versus elevation
CONCLUSIONS: Clinical outcomes of TBBVF showed no significant difference between tunneling and elevation groups. Thus, TBBVF can be done with either method.PMID:34027735 | DOI:10.1177/11297298211018076 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 24, 2021 Category: Surgery Authors: Choshin Kim Woo-Sung Yun Source Type: research

Unusual malposition of a peripherally inserted central catheter into the left pericardiophrenic vein: A case report
We report a case of primary malposition of a PICC inserted by guidewire replacement in the emergency room. Intraprocedural tip location by intracavitary electrocardiography was not feasible because the patient had atrial fibrillation; intraprocedural tip location by ultrasound (using the so-called "bubble test") showed that the tip was not in the superior vena cava or in the right atrium. A post-procedural chest X-ray confirmed the malposition but could not precise the location of the tip. A CT scan (scheduled for other purposes) finally visualized the tip in a very unusual location, the left pericardiophrenic ve...
Source: The Journal of Vascular Access - May 20, 2021 Category: Surgery Authors: Alfonso Piano Annamaria Carnicelli Emanuele Gilardi Nicola Bonadia Kidane Wolde Sellasie Mauro Pittiruti Mariano Alberto Pennisi Source Type: research

How to perform a percutaneous coronary intervention, when no conventional arterial access site is available: A case report
J Vasc Access. 2021 May 20:1129729820946915. doi: 10.1177/1129729820946915. Online ahead of print.ABSTRACTCoronary artery disease is one of the leading causes of mortality in the world. The presence of concomitant peripheral artery disease increases the risks of cardiovascular events along with limiting the arterial access for coronary intervention. Invasive management of such cases includes either alternate site access or combined peripheral and coronary revascularization. We hereby report a patient of the infrarenal abdominal aorta and bilateral subclavian arterial occlusion, who presented with acute coronary syndrome. T...
Source: The Journal of Vascular Access - May 20, 2021 Category: Surgery Authors: Rajesh Vijayvergiya Lipi Uppal Ganesh Kasinadhuni Pruthvi C Revaiah Rajan Palanivel Anupam Lal Source Type: research

Unusual malposition of a peripherally inserted central catheter into the left pericardiophrenic vein: A case report
We report a case of primary malposition of a PICC inserted by guidewire replacement in the emergency room. Intraprocedural tip location by intracavitary electrocardiography was not feasible because the patient had atrial fibrillation; intraprocedural tip location by ultrasound (using the so-called "bubble test") showed that the tip was not in the superior vena cava or in the right atrium. A post-procedural chest X-ray confirmed the malposition but could not precise the location of the tip. A CT scan (scheduled for other purposes) finally visualized the tip in a very unusual location, the left pericardiophrenic ve...
Source: The Journal of Vascular Access - May 20, 2021 Category: Surgery Authors: Alfonso Piano Annamaria Carnicelli Emanuele Gilardi Nicola Bonadia Kidane Wolde Sellasie Mauro Pittiruti Mariano Alberto Pennisi Source Type: research

How to perform a percutaneous coronary intervention, when no conventional arterial access site is available: A case report
J Vasc Access. 2021 May 20:1129729820946915. doi: 10.1177/1129729820946915. Online ahead of print.ABSTRACTCoronary artery disease is one of the leading causes of mortality in the world. The presence of concomitant peripheral artery disease increases the risks of cardiovascular events along with limiting the arterial access for coronary intervention. Invasive management of such cases includes either alternate site access or combined peripheral and coronary revascularization. We hereby report a patient of the infrarenal abdominal aorta and bilateral subclavian arterial occlusion, who presented with acute coronary syndrome. T...
Source: The Journal of Vascular Access - May 20, 2021 Category: Surgery Authors: Rajesh Vijayvergiya Lipi Uppal Ganesh Kasinadhuni Pruthvi C Revaiah Rajan Palanivel Anupam Lal Source Type: research

Unusual malposition of a peripherally inserted central catheter into the left pericardiophrenic vein: A case report
We report a case of primary malposition of a PICC inserted by guidewire replacement in the emergency room. Intraprocedural tip location by intracavitary electrocardiography was not feasible because the patient had atrial fibrillation; intraprocedural tip location by ultrasound (using the so-called "bubble test") showed that the tip was not in the superior vena cava or in the right atrium. A post-procedural chest X-ray confirmed the malposition but could not precise the location of the tip. A CT scan (scheduled for other purposes) finally visualized the tip in a very unusual location, the left pericardiophrenic ve...
Source: The Journal of Vascular Access - May 20, 2021 Category: Surgery Authors: Alfonso Piano Annamaria Carnicelli Emanuele Gilardi Nicola Bonadia Kidane Wolde Sellasie Mauro Pittiruti Mariano Alberto Pennisi Source Type: research

How to perform a percutaneous coronary intervention, when no conventional arterial access site is available: A case report
J Vasc Access. 2021 May 20:1129729820946915. doi: 10.1177/1129729820946915. Online ahead of print.ABSTRACTCoronary artery disease is one of the leading causes of mortality in the world. The presence of concomitant peripheral artery disease increases the risks of cardiovascular events along with limiting the arterial access for coronary intervention. Invasive management of such cases includes either alternate site access or combined peripheral and coronary revascularization. We hereby report a patient of the infrarenal abdominal aorta and bilateral subclavian arterial occlusion, who presented with acute coronary syndrome. T...
Source: The Journal of Vascular Access - May 20, 2021 Category: Surgery Authors: Rajesh Vijayvergiya Lipi Uppal Ganesh Kasinadhuni Pruthvi C Revaiah Rajan Palanivel Anupam Lal Source Type: research

Unusual malposition of a peripherally inserted central catheter into the left pericardiophrenic vein: A case report
We report a case of primary malposition of a PICC inserted by guidewire replacement in the emergency room. Intraprocedural tip location by intracavitary electrocardiography was not feasible because the patient had atrial fibrillation; intraprocedural tip location by ultrasound (using the so-called "bubble test") showed that the tip was not in the superior vena cava or in the right atrium. A post-procedural chest X-ray confirmed the malposition but could not precise the location of the tip. A CT scan (scheduled for other purposes) finally visualized the tip in a very unusual location, the left pericardiophrenic ve...
Source: The Journal of Vascular Access - May 20, 2021 Category: Surgery Authors: Alfonso Piano Annamaria Carnicelli Emanuele Gilardi Nicola Bonadia Kidane Wolde Sellasie Mauro Pittiruti Mariano Alberto Pennisi Source Type: research

How to perform a percutaneous coronary intervention, when no conventional arterial access site is available: A case report
J Vasc Access. 2021 May 20:1129729820946915. doi: 10.1177/1129729820946915. Online ahead of print.ABSTRACTCoronary artery disease is one of the leading causes of mortality in the world. The presence of concomitant peripheral artery disease increases the risks of cardiovascular events along with limiting the arterial access for coronary intervention. Invasive management of such cases includes either alternate site access or combined peripheral and coronary revascularization. We hereby report a patient of the infrarenal abdominal aorta and bilateral subclavian arterial occlusion, who presented with acute coronary syndrome. T...
Source: The Journal of Vascular Access - May 20, 2021 Category: Surgery Authors: Rajesh Vijayvergiya Lipi Uppal Ganesh Kasinadhuni Pruthvi C Revaiah Rajan Palanivel Anupam Lal Source Type: research

Long-term outcomes of anterior chest wall arteriovenous graft with polyurethane
CONCLUSIONS: Slight disadvantage are seen with patency rate and complication rate in polyurethane ACWAVG compare to ePTFE. However, when early cannulation is required, polyurethane is worth to consider for creating ACWAVG.PMID:34000892 | DOI:10.1177/11297298211012205 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 18, 2021 Category: Surgery Authors: Megumi Shimasaki Hiromu Rachi Kimitoshi Shiratori Seiko Takanohashi Satoko Uyama Kei Yamada Yuichi Totsuka Akira Takanohasi Kazuaki Shirota Hajime Nakamura Akashi Togawa Source Type: research

Forearm brachial artery to brachial vein looped arteriovenous grafts: A single center, single surgeon observational study
CONCLUSION: In patients with poor superficial veins, the brachial vein is a reasonable alternative to use as the venous outflow. However, in order to achieve acceptable patency rates, close monitoring of the VA, as well as aggressive treatment of complications within the brachial vein is necessary. Overall, the BB-AVG should be considered in patients who lack adequate superficial veins and require preservation of the more proximal veins.PMID:33993784 | DOI:10.1177/11297298211015095 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 17, 2021 Category: Surgery Authors: Jeremy Liu Josiah Situmeang Devin Takahashi Russell Harada Source Type: research

Ultrasound guidance for internal jugular vein cannulation in neonates: Modified dynamic needle tip positioning short-axis out-of-plane technique versus long-axis in-plane technique, a randomized controlled trial
CONCLUSIONS: The modified dynamic needle tip positioning short-axis out-of-plane technique enhanced the procedural efficacy and safety of internal jugular vein catheterization in neonates.PMID:33993790 | DOI:10.1177/11297298211015043 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 17, 2021 Category: Surgery Authors: Yanzhe Tan Zhenzhen Tu Ping Ye Ying Xu Mao Ye Lin Bai Lifei Liu Source Type: research

The role of stents in hemodialysis vascular access
J Vasc Access. 2021 May 17:11297298211015069. doi: 10.1177/11297298211015069. Online ahead of print.ABSTRACTVascular access is the Achilles' heel of dialysis therapy among patient with end stage kidney disease. The development of neointimal hyperplasia and subsequent stenosis is common in vascular access and is associated with significant morbidity. Percutaneous transluminal angioplasty using balloon inflation was the standard therapy of these lesions. However, the balloon-based approaches were associated with poor vascular access patency rate necessitating new inventions. It is within this context that different types of ...
Source: The Journal of Vascular Access - May 17, 2021 Category: Surgery Authors: Aisha Shaikh Alian Albalas Brinda Desiraju Amy Dwyer Nabil Haddad Ammar Almehmi Source Type: research

Forearm brachial artery to brachial vein looped arteriovenous grafts: A single center, single surgeon observational study
CONCLUSION: In patients with poor superficial veins, the brachial vein is a reasonable alternative to use as the venous outflow. However, in order to achieve acceptable patency rates, close monitoring of the VA, as well as aggressive treatment of complications within the brachial vein is necessary. Overall, the BB-AVG should be considered in patients who lack adequate superficial veins and require preservation of the more proximal veins.PMID:33993784 | DOI:10.1177/11297298211015095 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 17, 2021 Category: Surgery Authors: Jeremy Liu Josiah Situmeang Devin Takahashi Russell Harada Source Type: research

Ultrasound guidance for internal jugular vein cannulation in neonates: Modified dynamic needle tip positioning short-axis out-of-plane technique versus long-axis in-plane technique, a randomized controlled trial
CONCLUSIONS: The modified dynamic needle tip positioning short-axis out-of-plane technique enhanced the procedural efficacy and safety of internal jugular vein catheterization in neonates.PMID:33993790 | DOI:10.1177/11297298211015043 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 17, 2021 Category: Surgery Authors: Yanzhe Tan Zhenzhen Tu Ping Ye Ying Xu Mao Ye Lin Bai Lifei Liu Source Type: research

The role of stents in hemodialysis vascular access
J Vasc Access. 2021 May 17:11297298211015069. doi: 10.1177/11297298211015069. Online ahead of print.ABSTRACTVascular access is the Achilles' heel of dialysis therapy among patient with end stage kidney disease. The development of neointimal hyperplasia and subsequent stenosis is common in vascular access and is associated with significant morbidity. Percutaneous transluminal angioplasty using balloon inflation was the standard therapy of these lesions. However, the balloon-based approaches were associated with poor vascular access patency rate necessitating new inventions. It is within this context that different types of ...
Source: The Journal of Vascular Access - May 17, 2021 Category: Surgery Authors: Aisha Shaikh Alian Albalas Brinda Desiraju Amy Dwyer Nabil Haddad Ammar Almehmi Source Type: research

Fibrin sheath disruption during guidewire exchange for bacteremia: Low recurrence of infection and preservation of vascular access sites
CONCLUSIONS: In this retrospective analysis of treatment of CAB, ExW-FSD was associated with lower recurrence of bacteremia, lower death rate and a lower incidence of access site loss compared to RDI. These data support ExW-FSD use in patients with CAB.PMID:33985366 | DOI:10.1177/11297298211015783 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 14, 2021 Category: Surgery Authors: Adina S Voiculescu Dirk M Hentschel Source Type: research