Evidence-based criteria for the choice and the clinical use of the most appropriate lock solutions for central venous catheters (excluding dialysis catheters): a GAVeCeLT consensus.
CONCLUSIONS: The actual value of heparinization for non-dialysis catheters should be reconsidered. Also, the use of lock with substances with anti-bacterial and anti-biofilm activity (such as citrate or taurolidine) should be taken into consideration in selected populations of patients. PMID: 27516141 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 23, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Straight configuration saphenous vein transposition to popliteal artery for vascular access.
CONCLUSIONS: The straight configuration saphenous vein transposition to popliteal artery is simple to perform, offers a long and straight segment for cannulation and may be a suitable autologous vascular access in selected patients. PMID: 27768206 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 23, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Repeated mappings of arm veins by physical examination: role of nephrologists in the selection of suitable veins for AV fistula surgery.
Authors: Nguyen VD, Griffith CN Abstract Multidisciplinary team work is important for a successful hemodialysis vascular access program. The authors present a clinical case to illustrate the potential dynamic factors that can affect vein sizes, independent from the operators' skills and experiences. Therefore, if the first examination fails to detect suitable veins, repeated examinations of arm veins by nephrologists during routine office visits may greatly assist the surgeons in the selection of suitable arm veins for arteriovenous fistula surgery. PMID: 27768207 [PubMed - as supplied by publisher] (Source: Th...
Source: The Journal of Vascular Access - October 23, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Subscapular abscess associated with buttonhole cannulation technique of arteriovenous fistula for hemodialysis access.
Authors: Koratala A, Alquadan KF, Chornyy V, Qadri I, Ejaz AA PMID: 27768208 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 23, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Distinct impact of three different statins on arteriovenous fistula outcomes: a retrospective analysis.
CONCLUSIONS: Our results suggest that the potential benefit of statins on AVF outcomes is a drug-specific and not a class effect, and that such effect is also influenced by the type of fistula. PMID: 27768209 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 23, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Fracture of totally implanted central venous access devices: a propensity-score-matched comparison of risks for Groshong silicone versus polyurethane catheters.
CONCLUSIONS: Ports connected to Groshong SC catheters - when implanted via the internal jugular vein - posed a higher risk of fracture than did ports connected to PU catheters. PMID: 27768210 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 23, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Quality-of-life assessment: arm TIVAD versus chest TIVAD.
DISCUSSION: Quality of life for those requiring intravenous chemotherapy is very important. This should be considered when selecting an infusion device. Venous ports were positively received by the subjects in our study and there were fewer negative impacts upon subject satisfaction and quality of life for those with upper-arm devices. PMID: 27768211 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 23, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Arteriovenous access ischemic steal (AVAIS) in haemodialysis: a consensus from the Charing Cross Vascular Access Masterclass 2016.
Authors: Inston N, Schanzer H, Widmer M, Deane C, Wilkins J, Davidson I, Gibbs P, Zanow J, Bourquelot P, Valenti D Abstract Arteriovenous access ischaemic steal (AVAIS) is a serious and not infrequent complication of vascular access. Pathophysiology is key to diagnosis, investigation and management. Ischaemia distal to an AV access is due to multiple factors. Clinical steal is not simply blood diversion but pressure changes within the adapted vasculature with distal hypoperfusion and resultant poor perfusion pressures in the distal extremity. Reversal of flow within the artery distal to the AV access may be seen bu...
Source: The Journal of Vascular Access - October 16, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

The DRIL procedure for arteriovenous access ischemic steal: a controversial approach.
Authors: Davidson I, Beathard G, Gallieni M, Ross J Abstract Because of changes in the patient population clinical presentation, most notably forearm atherosclerosis and with new technologies, this editorial addresses the current validity of the DRIL procedure as a safe option in treating AVAIS. PMID: 27739574 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 16, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

The removal of a stuck catheter: an alternative to Hong's technique.
Authors: Lodi M, Ebrahimi RF, Pezzotti P, Carbonari L Abstract The use of the tunneled central venous catheter (CVC) is steadily increasing worldwide as a means of vascular access for hemodialysis. The increased use of these devices, which often outlive the patients, and the extended time they are used are associated with more frequent complications. Among these, one of the emerging complications is that of the "embedded" or stuck catheter. This term refers to when the catheter cannot be removed after detaching the retention cuff. In medical literature, experiences with the removal of stuck catheters are ...
Source: The Journal of Vascular Access - October 11, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Does pre- and post-angioplasty Doppler ultrasound evaluation help in predicting vascular access outcome?
CONCLUSIONS: Although less accurate for central lesions, DU has a key role on VA surveillance, allowing a morphologic and hemodynamic assessment. Angioplasty is effective in preserving VA; however, it may increase restenosis due to accelerated neointimal hyperplasia. Current parameters are not useful. Trials addressing this issue are needed. PMID: 27716891 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 11, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Duplex ultrasound for the prediction of vascular events associated with arteriovenous fistulas in hemodialysis patients.
CONCLUSIONS: US evaluation of AVFs in HD patients is a simple method to predict the risks of thrombosis and fistula dysfunction. Qa, ferritin, transferrin saturation, and warfarin use might be associated with VEs. PMID: 27716892 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 11, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

A modified de novo insertion technique for catheter replacement in elderly hemodialysis patients: a single clinic retrospective analysis.
CONCLUSIONS: The de novo placed catheter without delay technique for catheter replacement near the pre-existing venotomy site is safe, and boasts similar infection rates with lower dysfunction rates compared to tunneled catheter insertion by guidewire exchange technique. PMID: 27716893 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 11, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Low-angled peripheral intravenous catheter tip placement decreases phlebitis.
DISCUSSION: The frequency of phlebitis was lower in the polyurethane, in which the catheter was placed at lower angle, almost parallel to the vessel. Our results will aid in developing new catheters and in improving PIVC-securement techniques. PMID: 27646924 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 21, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Arterial stiffness and arteriovenous fistula failure of maturation.
CONCLUSIONS: This is the largest study to date exploring the association between arterial stiffness and AVF FTM. The measured central and peripheral arterial stiffness parameters were not associated with AVF FTM. Further research is needed to define if non-invasive arterial physiological measurements would be clinically useful in the prediction of AVF FTM. PMID: 27646925 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 21, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Impact of the shape of the needle tip on the efficacy of flushing implantable port chambers.
CONCLUSIONS: The presence of a bevel at the needle tip is a key factor for ensuring efficient flushing of the port. The absence of a bevel may increase hydraulic resistance and deposits in the port chamber. Implantable port flushing protocols must take this notion into account if the patency of port chambers is to be maintained. The clinical impact of this study has yet to be determined. PMID: 27646926 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 21, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Surveillance for hemodialysis access stenosis: usefulness of ultrasound vector volume flow.
CONCLUSIONS: VFI is an acceptable method for volume flow estimation and volume flow changes over time in AVFs. PMID: 27646927 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 21, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Intradialytic ultrafiltration volume and vascular access outcomes: A Japan Dialysis Outcomes and Practice Patterns Study subanalysis.
DISCUSSION: Large-volume ultrafiltration during dialysis tended to increase VA failure in hemodialysis patients. We thus recommend smaller ultrafiltration volumes during hemodialysis to secure VA safely. PMID: 27646928 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 21, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Pediatric patients undergoing arteriovenous fistula surgery without intraoperative heparin.
CONCLUSIONS: We found no benefit of heparin administration during clamping the arteries while performing the arteriovenous fistula in pediatric patients. PMID: 27646929 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 21, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Tegaderm ™ CHG dressing significantly improves catheter-related infection rate in hemodialysis patients.
CONCLUSIONS: This is the first prospective study to show that Tegaderm™ CHG dressing significantly reduces catheter-related infection rates in hemodialysis patients. PMID: 27516139 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 17, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Repair of access-related brachial artery aneurysm with cadaveric homograft: mid-term follow-up.
Authors: Gardiner J, Smout J, Torella F PMID: 27516140 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 17, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Evidence-based criteria for the choice and the clinical use of the most appropriate lock solutions for central venous catheters (excluding dialysis catheters): a GAVeCeLT consensus.
CONCLUSIONS: The actual value of heparinization for non-dialysis catheters should be reconsidered. Also, the use of lock with substances with anti-bacterial and anti-biofilm activity (such as citrate or taurolidine) should be taken into consideration in selected populations of patients. PMID: 27516141 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 17, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Rating scale for the assessment of competence in ultrasound-guided peripheral vascular access - a Delphi Consensus Study.
CONCLUSIONS: We developed an RS for assessment of UGVA competence based on opinions of ultrasound experts through a modified Delphi consensus study. PMID: 27516142 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 17, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Finding the right hemodialysis vascular access in the elderly: a patient-centered approach.
Authors: Murea M, Burkart J Abstract Vascular access preparation in the elderly with advanced kidney disease needs a nuanced approach. Recent studies indicate that age, along with comorbidity, modify the outcomes associated with the type of access placed or used for hemodialysis (HD). Options ranging from permanent vascular access (arteriovenous fistula [AVF] or graft [AVG]) to tunneled central venous catheter (TCVC) or conservative medical care must be weighed on an individual basis and reassessed longitudinally. The potential benefits derived from AVF compared with AVG and TCVC are not always seen in this populat...
Source: The Journal of Vascular Access - August 17, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Predictors of radio-cephalic arteriovenous fistulae patency in an Asian population.
CONCLUSIONS: Within our Asian study population, 12-month patency rate of RCAVF is 72%, 69% at 24 months, 58% at 36 months, 57% at 48 months, 56% at 60 months and 54% at 72 months. Male gender is an independent predictor for RCAVF patency. In females or patients with calcified radial arteries, a more proximal AVF should be considered. PMID: 27516144 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 17, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Echo color Doppler ultrasound: a valuable diagnostic tool in the assessment of arteriovenous fistula in hemodialysis patients.
Authors: Mudoni A, Caccetta F, Caroppo M, Musio F, Accogli A, Zacheo MD, Burzo MD, Gallieni M, Nuzzo V Abstract A functioning vascular access is a critical requirement to improve the quality of life in hemodialysis patients, so monitoring and surveillance of vascular access play key roles in identifying all dysfunctions and reducing the huge economic cost as well as adequacy of dialysis.In our five-year experience, a study protocol has been used and improved with the help of ultrasonography.Doppler ultrasound is an excellent and sensitive modality for hemodialysis access evaluation, one of techniques employed for a...
Source: The Journal of Vascular Access - July 31, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

The association of mineral metabolism with vascular access patency.
CONCLUSIONS: This study suggests a relationship between vitamin D3 usage and better vascular access patency, independent of the effect of vitamin D on PTH. Though this relationship needs more rigorous investigation prior to clinical application, the known differences in the pro- and anti-inflammatory effects of various vitamin D metabolites provide a potential mechanism for these clinical observations. PMID: 27470251 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 31, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

The risk of bleeding with tunneled dialysis catheter placement.
CONCLUSIONS: Based upon these data, it seems reasonable to classify the TDC placement procedure as having a very low risk of bleeding and to not require preprocedure laboratory testing. The value of suspending antithrombotic medications prior to TDC placement cannot be supported. PMID: 27470252 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 31, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Application of ultrasound-guided selective sensory nerve block for the endovascular treatment of hemodialysis fistula in the forearm.
Authors: Matsuda H, Oka Y, Yoshida R, Katsura Y, Oyama T, Katsube R, Takatsu S, Miyazaki M PMID: 27443578 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 25, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

In vitro evaluation of fluid reflux after flushing different types of needleless connectors.
CONCLUSIONS: Needleless connector is one of the main factors involved in keeping catheter patency. It is important to perform the best choice among the connectors available.An empirical reflux measurement, relative to the needleless connector and the catheter in use, can be obtained using an 18G cannula. PMID: 27443579 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 25, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Haemodialysis plastic cannulae - a possible alternative to traditional metal needles?
CONCLUSION: Due to the characteristics of plastic cannulae, they seem to be well suited for restless patients, patients with unpredictable behaviour, children, and patients who are allergic to metal.However, the evidence base provided by studies on the use of cannulae is currently weak. More controlled randomised studies are needed. PMID: 27443580 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 25, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Abstracts from the 4th World Congress on Vascular Access, WoCoVA 2016, June 22-24, 2016, Lisbon, Portugal.
Authors: Abstract Abstracts from the 4th World Congress on Vascular Access, WoCoVA 2016 | June 22-24, 2016 | Lisbon, Portugal. PMID: 27425139 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 21, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Stent migration and bail-out strategies.
Authors: Sequeira A Abstract Stent migration is an inherent complication of stent deployment. A number of factors are responsible for this dreaded complication. The stent may eventually migrate to the heart or lungs or in the process of migration damage structures en route to its final destination. A number of techniques are available to bail out interventionalists if such a situation should arise. Occasionally a wait and watch approach may be prudent. PMID: 27373535 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 6, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Vascular access scenario in Italy: evolution and comparison by two surveys (1998-2013).
DISCUSSION: The variability in CVC utilization among centers suggests the lack of a shared policy in patients and access coupling. Quantitative criteria should be used to reduce inappropriate strategy in vascular access creation. Since this activity in Italy is organized at a local level without a shared organizational model, we should inquire whether a system managed so well in the past should now be rebuilt on the model of organ transplantation. PMID: 27373536 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 6, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

The dwell time and survival rates of PICC placement after balloon angioplasty in patient with unexpected central venous obstruction.
CONCLUSIONS: PICC placement after balloon angioplasty is a good treatment option for patients with unexpected central venous lesions, and offers high technical success rates. The actual survival rate was relatively lower (40.7%) than that from previous studies. PMID: 27373537 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 6, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Preventing embolus shedding from an arteriovenous fistula during hemodialysis treatment.
We present a case of a 55-year-old male patient who suffered from a neogenic embolism formation and a sudden embolus detachment during hemodialysis treatment. For this case, the sudden onset of thrombosis formation and embolism detachment were caused by severe dehydration due to diarrhea, which resulted in low blood pressure, pachemia, hyperhemoglobinemia and hypercoagulability. An immediate vessel occlusion was performed as a rescue therapy followed by a thrombectomy at the position of vessel occlusion. The vessel occlusion can lead to better control of embolism detachment and reduce the rate of fatal pulmonary embolism f...
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Treatment of tunneled dialysis catheter malfunction: revision versus exchange.
CONCLUSIONS: Revision is a clearly superior procedure with regard to infection and more data need to be gathered as to whether it will decrease repeat procedures. PMID: 27312750 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Effectiveness of breast fixation to reduce migration of the tip of a totally implantable venous access port in women.
CONCLUSIONS: Breast fixation seems to be effective in reducing migration of the port chamber and catheter tip with position changes in female patients during TIVP placement. PMID: 27312751 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Safe administration of long-term vancomycin through a novel midline catheter: a response to letter to the editor.
Authors: Caparas JV, Hu JP PMID: 27312752 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Mid-arm radial-basilic fistula through vein transposition: survival of the access at more than five years.
Authors: Cravero R, Bosticardo GM, Conti B, Schillaci E, Loschiavo V PMID: 27312753 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Thoracoscope repair of a subclavical artery laceration due to inadvertent puncture: a letter to the editor.
Authors: Li DW, Zhu WY, Du LH, Zhang ZC PMID: 27312754 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Creating arteriovenous fistulas using surgeon-performed ultrasound.
CONCLUSIONS: Creating a functional autogenous vascular access is possible for most patients. No grafts were used in this series of 1874 consecutive new patients. Important elements for success included SP-US evaluation, utilization of the many vascular access options available, establishing radial artery AVF inflow when feasible, and prompt intervention when indicated. PMID: 27312755 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Preoperative vessel mapping in chronic kidney disease patients - a center experience.
CONCLUSIONS: This study demonstrates that preoperative vascular mapping with a patient-centered approach may be critical to achieve good outcomes allowing the increase in AVF access. PMID: 27312756 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Comment on: Safe administration of vancomycin through a novel midline catheter: a randomized, prospective clinical trial.
Authors: Spencer TR, Bardin AJ PMID: 27312757 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Peripheral intravenous cannulation: complication rates in the neonatal population: a multicenter observational study.
CONCLUSIONS: In this study the majority of PIVCs were removed after the occurrence of a complication. The most common complication was infiltration. Strategies to identify and prevent infiltration in an NICU population are required. Future interventional studies should attempt to improve first-time insertion success and reduce PIVC failure from infiltration in the neonate. Based on the results of the present study, neonatologists and physician assistants are the preferential PIVC inserters. Advanced training of all members of vascular access specialist teams and ongoing monitoring of PIVC-related complications are recommen...
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

An update of the effect of far infrared therapy on arteriovenous access in end-stage renal disease patients.
Authors: Chen CF, Yang WC, Lin CC Abstract The life qualities of end-stage renal disease (ESRD) patients rely largely on adequate dialysis, and a well-functioning vascular access is indispensable for high quality hemodialysis. Despite the advancement of surgical skills and the optimal maintenance of arteriovenous fistula (AVF), malfunction of AVF is still frequently encountered and has great impact on the life of ESRD patients. Several medical, mechanical and genetic prognostic factors are documented to affect the patency of AVF and arteriovenous graft (AVG). Heme oxygenase-1 (HO-1) is one of the genetic factors re...
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Retrograde dissection of the axillary artery during arteriogram via arteriovenous access.
We report the case of an 80-year-old female with end-stage renal disease (ESRD) on dialysis who developed an asymptomatic retrograde dissection of the left axillary artery during an arteriogram performed via a retrograde approach as part of access dysfunction evaluation. The condition was managed conservatively with no other intervention and close follow-up. No surgical intervention or stenting was needed in this case. DISCUSSION: Conservative management of retrograde arterial dissection in the arm may be a viable option especially in asymptomatic patients due to the nature of the injury. The force of blood flow in the...
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Outpatient removal of tunneled dialysis catheters by nephrology fellows in training at a Veterans Affairs Medical Center.
CONCLUSIONS: Outpatient TDC removal by trainees was successful and safe in the vast majority of cases (99%). We propose that TDC removal skills should be actively pursued and acquired by all nephrology fellows. This would expand the scope of practice for future general nephrologists and facilitate timely patient care. PMID: 27312761 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Percutaneous retrieval of a PICC fragment adherent to vascular wall 6 years after fracture.
Authors: Liao YB, Wei X, Luo XL, Chen M, Feng Y PMID: 27312762 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research

Diagnosis of azygos catheter misplacement.
Authors: Marcy PY, Guiffant G, Merckx J, Lacout A PMID: 27312763 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 19, 2016 Category: Surgery Tags: J Vasc Access Source Type: research