Concomitant placement of dialysis and infusion catheters in the right internal jugular vein in the intensive care setting: Is it safe?
CONCLUSIONS: Although not currently utilized with frequency, these preliminary data indicate that placing both a dual lumen dialysis catheter and central venous infusion catheter in the right internal jugular simultaneously could be a viable option. PMID: 32667243 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 16, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Managing Access by Generating Improvements in Cannulation: A national quality improvement project.
Authors: Fielding CA, Oliver SW, Swain A, Gagen A, Kattenhorn S, Waters D, Graham M, Gallagher H, Kumwenda MJ, Aitken M Abstract Cannulation is essential for haemodialysis with arteriovenous access, but also damages the arteriovenous access making it prone to failure, is associated with complications and affects patients' experiences of haemodialysis. Managing Access by Generating Improvements in Cannulation is a national UK quality improvement project, designed to improve cannulation practice in the United Kingdom, ensuring it reflects current needling recommendations. It uses a simple quality improvement method, ...
Source: The Journal of Vascular Access - July 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Catheter-related bloodstream infections in a nephrology unit: Analysis of patient- and catheter-associated risk factors.
This article examines clinical factors associated with catheter-related bloodstream infections incidence. METHODS: In this retrospective, single-center study, 413 patients undergoing extracorporeal treatments between 1 February 2014 and 31 January 2017 with 560 central venous catheters were recruited. Clinical parameters, such as gender, age, kidney disease status, diabetes, immunosuppression, and vintage dialysis, were collected at study entry. An incidence rate ratio (95% confidence interval) was calculated to assess the association between catheter-related bloodstream infections incidence rate and each clinical vari...
Source: The Journal of Vascular Access - July 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Centrally inserted central catheters in preterm neonates with weight below 1500  g by ultrasound-guided access to the brachio-cephalic vein.
CONCLUSION: The brachio-cephalic vein can be safely catheterized in preterm newborns requiring intensive care after appropriate training. PMID: 32648811 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Malignant wounds: Basal cell carcinoma presenting as a nonhealing ulceration on an arteriovenous fistula.
Authors: Maqueda Ara S, Del Barrio Fernández M, Suárez González LÁ PMID: 32648831 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Alternative exit sites for central venous access: Back tunneling to the scapular region and distal tunneling to the patellar region.
Authors: Ostroff MD, Pittiruti M Abstract Uncooperative elderly patients with cognitive disorder are often confused and/or agitated. Risk of involuntary venous access device dislodgment is high in these patients. This is equally likely with peripherally inserted central catheters and centrally inserted central catheters but less common with femorally inserted central catheters. Solutions to this problem include strict continuous patient observation, using sutures or subcutaneous anchored securement, wrapping the arm to "hide" the line, or using soft mittens to occupy the hands. However, some patients are ...
Source: The Journal of Vascular Access - July 11, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Alternative vascular device for high-flow computed tomography angiography: ultrasound-guided long peripheral catheter (4  Fr × 10 cm).
CONCLUSION: An 18-gauge-long peripheral catheter (4 Fr × 10 cm, Leadercath; Vygon) following specific protocols appears to be safe for conducting high-flow computed tomography studies in patients with limited venous access. PMID: 32633189 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 9, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

The management of vascular access in hemodialysis patients during the coronavirus disease 2019 epidemic: A multicenter cross-sectional study.
CONCLUSION: Catheter flow reduction and stenosis of arteriovenous access were the major vascular access complications. Most of the vascular access sites established were catheters, and many of the vascular access complications remained untreated. PMID: 32623945 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Peripherally inserted central catheter malposition to a persistent left superior vena cava: A successful case to leave the catheter till the end of chemotherapy.
We reported an unusual case of a breast cancer patient with a persistent left superior vena cava detected after a peripherally inserted central catheter insertion. The patient had undergone a modified radical mastectomy and needed to insert a peripherally inserted central catheter for chemotherapy. After the peripherally inserted central catheter insertion, the chest X-ray and computed tomography showed that the catheter was located in the persistent left superior vena cava. After an assessment of the persistent left superior vena cava and the catheter tip position, the peripherally inserted central catheter remained in th...
Source: The Journal of Vascular Access - July 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

A study on the management of needle-stick and sharps injuries based on total quality management in a tertiary hospital in western China.
CONCLUSION: Based on total quality management, the implementation of zero tolerance of winged metal needles is much better. The use of winged metal needles and the incidence of needle-stick injuries are reduced. Total quality management is of great clinical value in preventing needle-stick injuries. PMID: 32615842 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 5, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Preliminary balloon dilation of both saphenous fascia and the saphenous vein increases the below-knee fistula patency, but not maturation.
CONCLUSION: Saphenous vein dilation throughout the below-knee promotes fistula patency, but the posterior tibial artery shows inadequate response as an inflow supplier at the ankle level. More proximal connection of saphenous vein after balloon dilation may be used in the future to achieve adequate flow from leg arteries. PMID: 32611233 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 3, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Delayed pericardial tamponade following central venous recanalization.
Authors: Li N, Huang YH Abstract A patient with central venous occlusion at the junction of the superior vena cava and right atrium underwent endovascular revascularization. The leakage of contrast agents was detected during sharp recanalization that was then managed with covered stent deployment. The initial symptom of facial swelling disappeared and the vital signs were stable after treatment. Regrettably, the patient suffered from the clinical features of cardiac tamponade on the third day post-treatment, which was confirmed by computed tomography. Finally, a pericardial effusion was drained, leading to dramatic...
Source: The Journal of Vascular Access - July 3, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

GAVeCeLT-WoCoVA Consensus on subcutaneously anchored securement devices for the securement of venous catheters: Current evidence and recommendations for future research.
CONCLUSION: Subcutaneously anchored securement is a very promising strategy for avoiding dislodgment. Further studies are warranted, in particular for the purpose of defining (a) the best management of the anchoring device so to avoid local problems, (b) the patient populations in which it may be considered highly cost-effective and even mandatory, (c) the possible benefit in terms of reduction of other catheter-related complications such as venous thrombosis and/or infection, and-last but not least-(d) their impact on the workload and stress level of nurses taking care of the devices. PMID: 32613887 [PubMed - as suppl...
Source: The Journal of Vascular Access - July 3, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Enhanced vascular assessment by ultrasound using microbubble contrast after percutaneous decannulation of peripheral veno-arterial extracorporeal membrane oxygenation.
Authors: Au SY, Chan KS, Fong KM, Yung SK, Ng WYG, Leung KHA Abstract Termination of peripheral veno-arterial extracorporeal membrane oxygenation support by managing the arteriotomy wound using a percutaneous closure device was reported successful and effective. However, careful assessment by clinical examination and also ultrasound Doppler assessment of the lower limb vasculature after closure is of paramount importance. Complications including pseudoaneurysm, arterial stenosis, and acute thrombosis are not uncommon. In this case report, commercial microbubbles were used as ultrasound contrast to enhance the image...
Source: The Journal of Vascular Access - July 3, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

In defense of the use of peripherally inserted central catheters in pediatric patients.
Authors: Crocoli A, Cesaro S, Cellini M, Rossetti F, Sidro L, Pinelli F, Pittiruti M Abstract Central venous access devices have revolutioned the care of children affected by malignancies, facilitating management of complex and prolonged infusive therapies, reducing pain and discomfort related to repeated blood samples and indiscriminate venipunctures, thus reducing also psychological stress of both patients and families. In this respect, peripherally inserted central catheters have been disseminated for use, even in pediatric oncology patients, for their many advantages: easy and non-invasive placement with no ris...
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Creating percutaneous radiocephalic arteriovenous fistulas at the wrist.
CONCLUSION: The success of these percutaneous radiocephalic-arteriovenous fistulas suggests that use of the Ellipsys device will be applicable at the wrist in selected patients where appropriate vessel sizes and configurations are found. PMID: 32597355 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Efficacy and safety associated with the use of the Surfacer ® Inside-Out® Access Catheter System: Results from a prospective, multicenter Food and Drug Administration-approved Investigational Device Exemption study.
CONCLUSION: The results of the SAVEUS Study confirm the safety and efficacy of the Surfacer System and the Inside-Out procedure when used for the placement of right-sided central venous access in patients with thoracic central venous obstruction. PMID: 32597356 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Procedural competency for ultrasound-guided peripheral intravenous catheter insertion for nurses in a pediatric emergency department.
Authors: Blick C, Vinograd A, Chung J, Nguyen E, Abbadessa MKF, Gaines S, Chen A Abstract OBJECTIVES: To evaluate if nurses can reliably perform ultrasound-guided peripheral intravenous catheter placement in children with a high success rate after an initial training period. A secondary aim was to analyze complication rates of ultrasound-guided peripheral intravenous catheters. METHODS: A database recorded all ultrasound-guided peripheral intravenous catheter encounters in the emergency department from November 2013 to April 2019 including the emergency department nurse attempting placement, number of attempts,...
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Do 'Videos' sections of Internet search engines provide accurate and adequate information about totally implantable venous access ports?
CONCLUSION: Internet search engines' 'Videos' sections have the potential of providing information about totally implantable venous access ports. However, they are vulnerable to providing unreliable information. This study has showed that videos about totally implantable venous access ports are insufficient in terms of reliability and integrity and may mislead patients. PMID: 32597358 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Percutaneous creation of proximal radio-radial arteriovenous hemodialysis fistula before secondary brachial vein elevation.
CONCLUSIONS: Percutaneous creation of a proximal radial artery-radial vein fistula followed by brachial vein elevation is a safe and reliable option for autogenous access creation in patients with inadequate cephalic or basilic veins. Minimally invasive radial artery inflow and longer available length of the targeted brachial vein available for elevation are the main advantages in skilled hands. PMID: 32597359 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Effect of implementing an Epicutaneo-Caval Catheter team in Neonatal Intensive Care Unit.
Authors: Bayoumi MAA, Van Rens MFP, Chandra P, Francia ALV, D'Souza S, George M, Shahbal S, Elmalik EE, Cabanillas IJE Abstract BACKGROUND: Until the 1980s, central vascular access in the Neonatal Intensive Care Unit was predominantly delivered by umbilical catheters and only and if needed by surgical cutdowns or subclavian vein catheterization through blind percutaneous venipuncture. In the early 1980s, epicutaneo-caval catheters were successfully introduced. METHODS: In our Neonatal Intensive Care Unit, a dedicated team to insert epicutaneo-caval catheters was formally established in January 2017, including 1...
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Outcomes in buried versus non-buried peritoneal dialysis catheters: A retrospective cohort study.
CONCLUSION: The use of the buried peritoneal dialysis catheter technique as compared to the standard technique has revealed fewer overall catheter-related infections, particularly episodes of peritonitis and similar rates of mechanical complications in our series. In addition to that, the other benefits of buried peritoneal dialysis catheters such as lower healthcare cost, patient convenience and a viable option for patients in remote communities should prompt physicians to continue assessing suitable candidates for buried peritoneal dialysis catheters. PMID: 32605406 [PubMed - as supplied by publisher] (Source: The Jo...
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Preprocedural ultrasound vascular assessment is essential to decision-making.
Authors: Brescia F, Fabiani F, Borsatti E, Parisella L, Roveredo L, Pittiruti M Abstract Reliable venous access should be part of the clinical-therapeutic path of all cancer patients. A correct preliminary ultrasound evaluation of the patient's veins and the choice of the suitable vein are the fundamental requirements to guarantee a stable and long-lasting venous access. PMID: 32605409 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

The pull-through technique is not necessary in most cases of fistula salvage or maintenance.
Authors: Ng JJ, Loh SE, Choong AM PMID: 32605418 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound-guided double central venous access for azygos vein via the ninth and tenth intercostal veins.
Authors: Yoshimaru K, Matsuura T, Uchida Y, Kajihara K, Toriigahara Y, Kawano Y, Kondo T, Takahashi Y, Matsuoka W, Kaku N, Maki J, Taguchi T Abstract Some patients with intestinal failure, who are dependent on total parenteral nutrition for long periods, suffer from a lack of suitable conventional venous access points, including axillary, external jugular, internal jugular, subclavian, saphenous, and the brachio-cephalic and femoral veins, due to their occlusion. Furthermore, extensive central venous stenosis and/or thrombosis of the superior and inferior vena cava may preclude further catheterization, so uncommon ...
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Relapsing peritonitis and taurolidine peritoneal catheter lock: One center experience.
CONCLUSION: We believe that peritoneal catheter taurolidine lock could be considered in cases of relapsing or refractory peritonitis, as it could prevent catheter removal and permanent switch to hemodialysis in selected cases, although literature is scarce and further studies are needed. PMID: 32605474 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 2, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Severe hemodialysis access-induced distal ischemia may be associated with poor survival.
Authors: Gerrickens MW, Yadav R, Wouda R, Beerenhout CH, Scheltinga MR Abstract BACKGROUND: Some hemodialysis patients develop hemodialysis access-induced distal ischemia due to insufficient loco-regional perfusion pressure and consequent poor arterial flow. We hypothesized that patients with severe hemodialysis access-induced distal ischemia had worse survival compared with patients with mild or no hemodialysis access-induced distal ischemia. METHODS: This single-center retrospective observational cohort study included three groups of prevalent hemodialysis patients with an upper extremity vascular access betw...
Source: The Journal of Vascular Access - June 28, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Use of blood temperature monitor with Twister device for the surveillance of vascular access in maintenance hemodialysis: Comparison with Doppler ultrasonography.
CONCLUSION: In patients on maintenance hemodialysis, blood flow measured by blood temperature monitor moderately correlated with Doppler blood flow. It was more related to arterial inflow than venous outflow or flow between punctures. The blood temperature monitor method was not inferior to Doppler ultrasonography. Therefore, blood temperature monitor could be recommended for routine vascular access monitoring because it can be done quickly without interrupting dialysis. PMID: 32588721 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 28, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Solutions to stuck tunneled cuffed catheters in patients undergoing maintenance hemodialysis.
CONCLUSION: Thoracotomy is an efficient way to treat stuck catheter but is limited by its high risk and complications. Leaving part of catheter in situ may increase the risk of central vein stenosis. Comparing to the former two, endoluminal percutaneous transluminal angioplasty is a safe, efficient, and practical way for stuck catheters and should be recommended as the first choice. PMID: 32588722 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 28, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Molecular tracking of pathogens in central venous catheter.
CONCLUSION: The molecular method identified more bacteria than microbiological methods and revealed colonization of the catheters. The most commonly found bacteria are in the environment and in the microbiota of the skin, which suggests contamination by the hands of health professionals and points out the need for more efforts in preventive strategies. PMID: 32588732 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 28, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Intracavitary electrocardiography for tip location during central venous catheterization: A narrative review of 70 years of clinical studies.
Authors: Pittiruti M, Pelagatti F, Pinelli F Abstract Intracavitary electrocardiography is an accurate and non-invasive method for central venous access tip location. Using the catheter as a traveling intracavitary electrode, intracavitary electrocardiography is based on the increase in the detected amplitude of the P wave while approaching the cavoatrial junction. Despite having been adopted diffusely in clinical practice only in the last years, this method is not novel. In fact, it has first been described in the late 40s, during electrophysiological studies. After a long period of quiescence, it is in the last t...
Source: The Journal of Vascular Access - June 26, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound-guided placement of peripherally inserted intravenous catheters increase catheter dwell time in children.
Authors: Cottrell JT, Chang T, Baird J, Barreras J, Elkhunovich MA Abstract OBJECTIVE: To compare the dwell times of ultrasound-guided and non-ultrasound-guided short peripheral intravenous catheters in hospitalized children. METHODS: This was a retrospective analysis of data from 256 ultrasound-guided and 287 traditional peripheral intravenous catheters placed in hospitalized children between 1 September2016 and 31 October 2016 at a free-standing children's hospital with a 10-member vascular access team. A two-sample independent t test and Kaplan-Meier estimator were used to assess differences in dwell times b...
Source: The Journal of Vascular Access - June 26, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Tunnelled haemodialysis catheter insertion into the persistent left superior vena cava.
We present the case of a patient with persistent left superior vena cava, which was diagnosed after the attempted insertion of tunnelled haemodialysis catheter through the left internal jugular vein. The presence of the persistent left superior vena cava was confirmed by cardiac echography and angio-computed tomography scan. The 19-cm long tunnelled haemodialysis catheter was inserted into persistent left superior vena cava through the left internal jugular vein with good long-term function. PMID: 32579080 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 26, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Comparison between sedation room and operating room in central venous catheter positioning in children.
CONCLUSION: In the pediatric patient candidate to a major neurosurgical operation, preoperative insertion of the central venous access device in the sedation room rather than in the operating room is less expensive and equally safe. PMID: 32564667 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

The microbial biofilm composition on peripherally inserted central catheters: A comparison of polyurethane and hydrophobic catheters collected from paediatric patients.
CONCLUSION: More diverse pathogens were present on the colonised peripherally inserted central catheter collected from the patient with central line-associated bloodstream infection. Microbial biofilm composition did not appear to be affected by the design of peripherally inserted central catheter biomaterials or antibiotic therapy. However, the diversity of the microbial communities appeared to decrease with dwell time. PMID: 32564705 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Delamination of Acuseal early cannulation arteriovenous graft months after implantation.
Authors: Suemitsu K, Shiraki T, Miyamoto M, Sasagawa N, Nakamura T, Izumi M Abstract Arteriovenous fistula is recommended, but arteriovenous graft is acceptable when a fistula is not possible. Acuseal is an early cannulation graft with a trilayer structure. Although primary patency rates of Acuseal appear to be similar to those of other standard grafts, few studies have investigated long-term results and complications. In our series, delamination of the wall structure occurred in 5.1% (6/115) by 21 months after Acuseal implantation. The causes could be divided into cannulation-related and cannulation-unrelat...
Source: The Journal of Vascular Access - June 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Construction and validation of a scale for assessing arteriovenous fistulas.
CONCLUSION: The Arteriovenous Fistula Assessment Scale is a valid and reliable instrument that can be used to monitor arteriovenous fistulas in hemodialysis patients. PMID: 32552344 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 21, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Intraoperative identification of persistent left superior vena cava with intracavitary electrocardiogram during venous port insertion: A report of eight cases.
Authors: Jheengut Y, Fan B Abstract Persistent left superior vena cava is a rare congenital anomaly, occurring in 0.3% to 0.5% of general population and up to 10% in patients with congenital heart disease. This anomaly is usually discovered incidentally during central venous catheterization from left side. Since 2015, we have identified eight cases of persistent left superior vena cava out of a total of 2637 patients who had left sided venous port insertion in our department. The persistent left superior vena cavae were identified with the aid of intracavitary electrocardiogram. The characteristic finding was an in...
Source: The Journal of Vascular Access - June 19, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Hemodialysis fistula stenosis caused by extrinsic vascular compression: The May-Thurner of fistulas.
We report a case of high venous pressures during dialysis, secondary to an extrinsic compression of the underlying brachial artery that was diagnosed with Doppler ultrasound. The stenosis localization resembles the typical and frequent juxta-anastomotic venous outflow stenosis. This similarity can be a confounding factor and can lead to failure of conventional treatments. Careful surgical technique of arteriovenous graft creation and Doppler ultrasound mapping can prevent this entity. PMID: 32536263 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 18, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Dual-chambered venous access port as alternative access for extracorporeal apheresis therapy.
CONCLUSION: The dual-chambered venous access port was successfully used for sustained blood flow in apheresis therapy with a moderate, yet correctable complication rate. PMID: 32538271 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 18, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Single-access ultrasound-guided tunneled femoral lines in critically ill pediatric patients.
We describe our institutional technique for ultrasound-guided tunneled femoral venous access in neonates and infants and provide technical pearls from our experience, with an intended audience including specialists performing point-of-care ultrasound-guided procedures as well as interventional radiologist making their services available in the intensive care unit. PMID: 32538296 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 18, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Long peripheral catheters for intravenous access in adults and children: A systematic review of the literature.
CONCLUSION: Long peripheral catheters are safe and reliable in both adults and children. In addition, long peripheral catheters may provide improved quality of care over peripheral intravenous catheters for multi-day intravenous therapy. PMID: 32529915 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 13, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Effectiveness of transparent film dressing for peripheral intravenous catheter.
CONCLUSION: The use of transparent film dressing for insertion of peripheral intravenous catheter can be recommended as it increases the dwell time for the catheter and reduces incidence of complications. PMID: 32529940 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 13, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Accordion effect: A red herring during percutaneous angioplasty of arteriovenous dialysis access.
We describe a case of accordion effect observed during endovascular intervention for arteriovenous graft salvage. PMID: 32519567 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Randomised clinical study of the impact of routine preoperative Doppler ultrasound for the outcome of autologous arteriovenous fistulas for haemodialysis.
CONCLUSION: It was concluded that Doppler ultrasound contributed to the reduction of primary failure, leading to a significantly superior primary patency of arteriovenous fistulas, and no increase in the final cost. This justifies its routine preoperative use in the Single Health System. Registration number RBR-474xhn ( http://www.ensaiosclinicos.gov.br ). PMID: 32519569 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Liposuction used to treat deep vascular accesses for hemodialysis.
CONCLUSION: Liposuction is effective, safe, and seems to be the least invasive technique of superficialization. PMID: 32519570 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Hemodialysis arteriovenous fistula ligation after renal transplantation: Impact on graft resistive index.
In this study, we prospectively evaluated RI changes after AVF ligation in kidney transplanted patients. METHODS: We enrolled 22 stable transplanted patients. Mean RI was measured before AVF ligation (T0), 18 to 24 h (T1) and 6 months (T6) after surgery; mean blood pressure (mBP), heart rate (HR), serum creatinine (sCr), estimated glomerular filtration rate (eGFR), 24 h proteinuria (24 h-P), immunosuppressive drug blood levels (IS) and antihypertensive drugs were also recorded. RESULTS: AVF ligation was performed 3.1 years (IQR: 2.1-3.8) after transplantation. Median AVF flow (Qa) was 1868 mL/min (IQR: 1538-2712) a...
Source: The Journal of Vascular Access - June 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

A novel technique of reimplantation of a radial artery that makes a hairpin turn to reduce the excessive vascular access flow in a dialysis patient.
We report a new technique called "reimplantation of an artery with a hairpin turn (RAHT)" to reduce excessive vascular access flow. A 73-year-old woman on dialysis consulted us for vascular surgery because of an increased cardiac preload. Chest radiography and echocardiography revealed an excessive shunt flow in the brachial artery (flow rate, 2336 mL/min). Vascular echo-Doppler of the left upper limb showed that the radial artery made a hairpin turn at the arteriovenous fistula (diameter, 9 mm). Diameters of the radial artery proximal and distal to the arteriovenous fistula were 5.4 and 3.7 mm, respectively. We ...
Source: The Journal of Vascular Access - June 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Elective replacement of peripheral intravenous cannulas in neonates.
Authors: Liew DD, Zhou L, Chin LY, Davies-Tuck M, Malhotra A Abstract BACKGROUND: Newborns admitted to neonatal units often require vascular access. Peripheral intravenous cannulas allow essential medication, fluids, and/or parenteral nutrition to be delivered. Peripheral intravenous cannulas are often associated with complications, such as extravasation, infiltration, phlebitis, leakage, spontaneous dislodgement, and catheter-associated blood stream infection. METHODS: A secondary analysis of a randomized controlled trial evaluating standard replacement versus elective replacement (72-96 h) of peripheral intra...
Source: The Journal of Vascular Access - June 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

The utility of portable negative pressure wound therapy in the management of prosthetic dialysis arteriovenous graft infection.
Authors: Morimoto N, Tanabe M, Imono A, Otani M, Shioji S, Hirasawa S, Aki S, Aoyagi M, Tanaka H Abstract The management of prosthetic dialysis arteriovenous graft infection comprises antibiotic treatment and total or partial excision of infected grafts for infectious source control. Partial excision with graft bypass is an important graft preservation strategy for localized infection but carries a higher reinfection risk. Here, we report a case of prosthetic graft infection that was successfully treated with partial excision, a graft bypass procedure, and a portable negative pressure wound therapy system, PICO, ap...
Source: The Journal of Vascular Access - June 12, 2020 Category: Surgery Tags: J Vasc Access Source Type: research