Comparison of alteplase and urokinase for pharmacomechanical thrombolysis of clotted hemodialysis access.
Authors: Tan RY, Pang SC, Teh SP, Lee KG, Chong TT, Gogna A, Tan CS Abstract BACKGROUND:: Percutaneous pharmacomechanical thrombolysis is increasingly used to salvage thrombosed hemodialysis access. We aim to evaluate the effectiveness of alteplase compared to urokinase in percutaneous pharmacomechanical thrombolysis clotted access. METHODS:: Records of patients who underwent pharmacomechanical thrombolysis at Interventional Nephrology Suite in a tertiary teaching hospital from 1 January 2016 to 31 December 2016 were reviewed. Technical and clinical success rates, thrombosis-free and cumulative survivals, proce...
Source: The Journal of Vascular Access - December 28, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Predictors of venous stenosis or occlusion following first transvenous cardiac device implantation: Prospective observational study.
CONCLUSION:: Prolonged implantation time (>60 min) and perioperative complications are associated with an increased risk of venous stenosis or occlusion, whereas diabetes and prediabetes significantly reduce the risk of venous stenosis or occlusion. PMID: 30537896 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 14, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Endovascular treatment of cephalic arch stenosis in brachiocephalic arteriovenous fistulas: A systematic review and meta-analysis.
Authors: D'cruz RT, Leong SW, Syn N, Tiwari A, Sannasi VV, Singh Sidhu HR, Tang TY Abstract PURPOSE:: The aim of this study is to appraise the current literature on the endovascular management options and their outcomes of cephalic arch stenosis in the setting of a failing brachiocephalic fistula for hemodialysis. METHODS:: A systematic search of the literature was performed using PubMed, Embase, and Google Scholar from January 2000 to December 2017 in accordance with the PRISMA guidelines to investigate the outcomes of endovascular management of cephalic arch stenosis. Data from randomized controlled trials an...
Source: The Journal of Vascular Access - December 8, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Peripherally inserted central catheter, midline, and "short" midline in palliative care: Patient-reported outcome measures to assess impact on quality of care.
Peripherally inserted central catheter, midline, and "short" midline in palliative care: Patient-reported outcome measures to assess impact on quality of care. J Vasc Access. 2018 Dec 03;:1129729818814732 Authors: Magnani C, Calvieri A, Giannarelli D, Espino M, Casale G Abstract OBJECTIVES:: A prospective, observational study was conducted in our palliative care unit to assess the impact of peripherally inserted central catheters (PICCs), midline, and "short" midline catheters on the quality of care in cancer and non-cancer patients. The secondary objective was to assess pain and di...
Source: The Journal of Vascular Access - December 8, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

The impact of functioning hemodialysis arteriovenous accesses on renal graft perfusion: Results of a pilot study.
Authors: Laranjinha I, Matias P, Oliveira R, Casqueiro A, Bento MT, Carvalho AP, Adragão T, Jorge C, Bruges M, Birne R, Machado D, Weigert A Abstract INTRODUCTION:: After a kidney transplant, it is unknown whether the maintenance of a functioning hemodialysis arteriovenous access could have deleterious effects on renal grafts. We hypothesize that maintaining an arteriovenous access can deviate a significant proportion of the cardiac output from the renal graft. The aim of this study was to investigate whether a temporary closure of the arteriovenous access could lead to an increase in graft perfusion. ME...
Source: The Journal of Vascular Access - December 8, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Transjugular percutaneous endovascular treatment of dysfunctional hemodialysis access.
CONCLUSION:: For the treatment of dysfunctional or immature hemodialysis access, the transjugular approach is a feasible and effective option that avoids injury to the graft or draining vein, especially in immature fistulas. PMID: 30520334 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 8, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Emergency brachial artery ligation for ruptured infected pseudoaneurysm of haemodialysis access is a possible option.
CONCLUSION:: Proximal arteriovenous fistula has higher incidence of aneurysmal complications than distal ones. Ligation of the brachial artery which was a 'grey zone' of unpredictable prognosis has yielded good results and can be safely performed in desperate situations with low complication rates. PMID: 30486731 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 1, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Long-term outcomes of the 'primary extension technique' in the prevention of Steal syndrome.
CONCLUSION: Our 13-year experience demonstrates that the primary extension technique is a safe and effective procedure for fistula formation. Patency rates are comparable to brachio-cephalic and brachio-basilic fistulas and primary extension technique is effective in the prevention of dialysis-associated steal syndrome. PMID: 30486732 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 1, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Sentinel vascular access monitoring after endovascular intervention predicts access outcome.
Authors: Kumbar L, Peterson E, Zaborowicz M, Besarab A, Yee J, Zasuwa G Abstract BACKGROUND AND OBJECTIVES:: The vascular access pressure ratio test identifies dialysis vascular access dysfunction when three consecutive vascular access pressure ratios are>0.55. We tested whether the magnitude of the decline in vascular access pressure ratio 1-week post-intervention could alert of subsequent access failure. DESIGN, SETTING, PARTICIPANTS, AND MEASUREMENTS:: The retrospective study included all vascular access procedures at one institution from March 2014 to June 2016. Data included demographics, comorbidities,...
Source: The Journal of Vascular Access - November 28, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Repeated transhepatic tunnelled catheter insertion for dialysis access.
Authors: Hazar C, Shaikh S PMID: 30461334 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 23, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Subcutaneous bleeding from arteriovenous fistula cannulation causes skin complication mimicking compartment syndrome.
Authors: Wangsapthawi G, Saengyo S, Rerkasem K PMID: 30461336 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 23, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Percutaneous retrieval of a fractured HeRO graft venous outflow component with endobronchial forceps.
Authors: Patel N, Hussain J, Gemmete JJ, Chick JFB, Woodside K, Srinivasa RN PMID: 30461342 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 23, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Pocket-sized ultrasound device for internal jugular puncture: A randomized study of performance on a simulation model.
CONCLUSION:: Pocket-sized ultrasound and conventional ultrasound device performances are not statistically different for internal jugular vein-guided ultrasonography in a training model. These results must be confirmed in a clinical study. PMID: 30457029 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 21, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Percutaneous treatment of right-sided subclavian stenosis using radial approach.
Authors: Tripolino C, Tassone EJ, Grillo P, Morabito G, Missiroli B PMID: 30457032 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 21, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Brachioplasty a superficialization procedure of brachial arteriovenous access for hemodialysis after weight loss: A novel approach.
Authors: Vrancken C, Farid Y, Zirak C, De Quin I, Dernier Y PMID: 30457035 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 21, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Thermotherapy: Improving the vascular access cannulation procedure.
CONCLUSION:: (1) Thermotherapy on the vascular access reduced the pain caused by needle cannulation in our patients, without complications related to vascular access. (2) We will consider its clinical application in those painful vascular access cannulations at our hemodialysis unit. (3) Further studies are required to assess other potential beneficial effects added to thermotherapy in vascular access cannulation procedure. PMID: 30442083 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

The effect of stellate ganglion block on the function of arteriovenous fistulas for hemodialysis: A randomized trial.
CONCLUSION:: Stellate ganglion block before arteriovenous fistula surgery in the upper limbs improves hemodialysis success rate. PMID: 30442084 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Outcome of endovascular salvage of immature hemodialysis arteriovenous fistulas.
CONCLUSION:: Immature arteriovenous fistulas can be successfully salvaged by aggressive and timely endovascular intervention. Mixed stenosis is associated with poor access outcomes. PMID: 30444167 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Patients' wishes, pregnancy and vascular access: When one size does not fit all.
Authors: Piccoli GB, Cabiddu G, Gallieni M Abstract Pregnancy in dialysis patients is a rare but important event that challenges our knowledge and demands re-thinking many aspects of our practice, including vascular access. This editorial briefly discusses some open questions on vascular access in this situation that challenge the motto 'fistula first' and underline the need for personalised approaches. Information on vascular access in pregnant women is scant. Different approaches may be considered between women on dialysis already on a well-functioning tunnelled catheter and newly placed catheters: while a tunnel...
Source: The Journal of Vascular Access - November 14, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

An analysis of potential predictors of tunneled hemodialysis catheter infection or dysfunction.
CONCLUSION:: Female sex and left-sided line placement were independent predictors of tunneled hemodialysis catheter dysfunction, but none of the evaluated parameters predicted tunneled hemodialysis catheter infection. PMID: 30421638 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 14, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

One-stage lipectomy superficialization of deep cephalic veins in comparison with secondary lipectomy in arteriovenous dialysis fistula.
Authors: Elbarbary AH Abstract OBJECTIVE:: Lipectomy is an acceptable method of cephalic vein superficialization in hemodialysis arteriovenous fistula. However, limiting it to be a secondary procedure may prolong time between fistula creation and successful cannulation posing more risk of central venous catheter use. AIM:: The aim of this study is to evaluate primary surgical lipectomy performed at the time of arteriovenous fistula creation in comparison with secondary lipectomy. PATIENTS AND METHODS:: Between June 2015 and January 2017, 59 adult end-stage renal disease patients were allocated non-randomly ...
Source: The Journal of Vascular Access - October 31, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Current status of dialysis and vascular access in Taiwan.
Authors: Chen CF, Chen FA, Lee TL, Liao LF, Chen CY, Tan AC, Chan CH, Lin CC Abstract Due to the implementation of the National Health Insurance system in 1995, the number of patients receiving maintenance dialysis has increased rapidly. This contributed to Taiwan to be in an unfortunate position of possessing the highest prevalence of end-stage renal disease globally. Although the age-standardized incidence of end-stage renal disease gradually decreased to -1.1% in 2014, the huge economic burden that comes with dialysis is detrimental to the quality of dialysis treatment. To achieve a balance between economy and q...
Source: The Journal of Vascular Access - October 27, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Agitated saline bubble-enhanced ultrasound for the positioning of cuffed, tunneled dialysis catheters in patients with end-stage renal disease.
CONCLUSION:: Dynamic ultrasound-based visualization of microbubbles in the right atrium is a highly accurate method to detect percutaneous implantation of large-lumen, tunneled, central venous catheters without the need for fluoroscopic guidance technology. Future research should further develop and confirm these initial findings. PMID: 30354909 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 27, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Precurved non-tunnelled catheters for haemodialysis are comparable in terms of infections and malfunction as compared to tunnelled catheters: A retrospective cohort study.
CONCLUSION:: Tunnelled central venous catheters and precurved non-tunnelled central venous catheters showed no difference in reaching the combined endpoint of catheter-related infections and catheter malfunction. Tunnelled catheters get removed less often because of infection/malfunction than precurved non-tunnelled catheters. PMID: 30345873 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 24, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Good long-term patency: 10-year follow-up using the mid-thigh adductor loop arteriovenous graft.
CONCLUSION: Autogenous venous access remains the perceived gold standard for patients requiring dialysis for end stage renal failure, despite some published data reporting poor outcomes. We have shown that adductor loop arteriovenous grafts can be a reliable, safe and long-term alternative in those whom fistula formation is not possible and may have a role earlier in the patient journey than previously thought, as a result of good patency and lower complications. PMID: 30345875 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 24, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Clinical use of Sherlock-3CG ® for positioning peripherally inserted central catheters.
CONCLUSION: Our study could not demonstrate any specific advantage of Sherlock-3CG either as a magnetic-based tip navigation method or as an electrocardiogram-based tip location method. PMID: 30334475 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 20, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

EA-DIVA score (Enhanced Adult DIVA score): A new scale to predict difficult preoperative venous cannulation in adult surgical patients.
DISCUSSION: The EA-DIVA score is a simple tool to identify patients at high risk of peripheral difficult intravenous access. Its implementation is recommended in order to optimize peripheral intravenous access procedures. PMID: 30324841 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 18, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Letter regarding "pseudo-aneurysm resulting from banding failure".
Letter regarding "pseudo-aneurysm resulting from banding failure". J Vasc Access. 2018 Oct 16;:1129729818804995 Authors: Ladenheim E PMID: 30324845 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 18, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Novel technique for repair of arteriovenous fistula with aneurysm.
We present a novel method for repair of a case of aneurysm of arteriovenous fistula resulting from stenosis. A 52-year-old woman presented with aneurysm formation of the left upper arm arteriovenous fistula, with related numbness in the left hand. Clinical examination revealed a tense, pulsatile aneurysm above the brachiocephalic anastomosis. Ultrasound examination revealed an aneurysm (50 mm × 25 mm) with proximal stenosis and an arteriovenous fistula flow rate above 1200 mL/min. An incision was made lateral to the aneurysm from the brachiocephalic anastomosis to the proximal stenosis through the antec...
Source: The Journal of Vascular Access - October 18, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Use of intraosseous hypertonic saline in critically ill patients.
CONCLUSION: Intraosseous administration of 23.4% saline in 6 adult patients with neurological emergencies was feasible and should be considered in cases where obtaining intravenous access is time consuming. PMID: 30328363 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 18, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Hand motion analysis for assessment of nursing competence in ultrasound-guided peripheral intravenous catheter placement.
The objective of this study was to demonstrate the feasibility and validity of hand motion analysis for assessment of nursing competence in ultrasound-guided peripheral intravenous placement. METHODS: We conducted a prospective cohort study at a tertiary children's hospital. Participants included a convenience sample of nurses with no ultrasound-guided peripheral intravenous experience and experts in ultrasound-guided peripheral intravenous placement. Nurses completed hand motion analysis before and after participating in a simulation-based ultrasound-guided peripheral intravenous placement training program. Experts al...
Source: The Journal of Vascular Access - October 17, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Tract dilation to salvage failing buttonholes in arteriovenous dialysis fistulae.
Authors: Barzel E, Larkin JW, Marcus A, Reviriego-Mendoza MM, Usvyat LA, Sor M, Maddux FW Abstract INTRODUCTION: Hemodialysis patients with an arteriovenous fistula can use buttonhole techniques for cannulation. Although buttonholes generally work well, patients may report difficult and painful cannulation, and buttonholes may fail over time. We aimed to assess the effectiveness of tract dilation in treatment of failing buttonholes. METHODS: We retrospectively analyzed data from patients treated with buttonhole tract dilation at an outpatient vascular access center between January 2013 and August 2015. RESU...
Source: The Journal of Vascular Access - October 17, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Fistuloplasty using a radiation-and-time-saving sheathless balloon catheter.
CONCLUSION: Sheathless intervention is feasible with several potential advantages, including short procedure time, minimal contrast volume, and reduced radiation exposure. Finally, the lower profile at the access site may result in fewer complications. PMID: 30319012 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 17, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Anatomical variants of upper arm veins on preoperative mapping venography for hemodialysis access in Korean adults.
CONCLUSION: There are significant anatomical variations of upper arm veins, and the recognition of certain variants can affect surgical planning and outcomes of access placement. It is important to identify anatomical variants of the upper arm veins during preoperative vein mapping. PMID: 30306819 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 12, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Rapid Central Vein Assessment (RaCeVA): A systematic, standardized approach for ultrasound assessment before central venous catheterization.
Authors: Spencer TR, Pittiruti M Abstract Ultrasound technology has revolutionized the practice of safer vascular access, for both venous and arterial cannulation. The ability to visualize underlying structures of the chest, neck, and upper/lower extremities provides for greater success, speed, and safety with all vascular access procedures. Ultrasound not only yields superior procedural advantages but also provides a platform to perform a thorough assessment of the vascular structures to evaluate vessel health, viability, size, and patency, including the location of other important and best avoided anatomical stru...
Source: The Journal of Vascular Access - October 7, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Microcalcification in the arterial wall and its relationship to the ultrasound criteria of maturation of the arteriovenous fistula.
CONCLUSION: Microcalcification and atherosclerosis are frequently seen in the arteries of chronic kidney disease patients, but they do not explain arteriovenous fistula non-maturation. PMID: 30269637 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 2, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Tissue adhesive and chlorhexidine gluconate interaction: Implications for vascular access device securement.
Authors: Ullman AJ, Dargaville TR, Rickard CM PMID: 30253675 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 28, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

A new device for ultrasound-guided peripheral venous access.
Authors: Brugioni L, Barchetti M, Tazzioli G, Gelmini R, Girardis M, Bianchini M, Schepis F, Nicolini M, Pinelli G, Martella P, Barozzi M, Mori F, Scarabottini S, Righetti A, Ravazzini M, Bertellini E Abstract BACKGROUND: In patients with difficult peripheral venous access, alternative techniques require expertise and are invasive, expensive, and prone to serious adverse events. This brought us to designing a new venous catheter (JLB® Deltamed, Inc.) for the cannulation of medium and large bore veins; it is echogenic, and available in different lengths (60 / 70 / 80 mm) and Gauges (14 / 16 / 17 / 18). METHO...
Source: The Journal of Vascular Access - September 28, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Multicentre, randomised, blinded, control trial of drug-eluting balloon vs Sham in recurrent native dialysis fistula stenoses.
CONCLUSION: Paclitaxel drug-eluting balloon significantly delays restenosis after angioplasty for recurrent autogenous arteriovenous haemodialysis fistula stenosis, persisting to 12 months. Drug-eluting balloon significantly increases freedom from reintervention at 12 months with these effects true in stented and unstented fistulas. PMID: 30227772 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 21, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Pilot study using intraoperative fluorescence angiography during arteriovenous hemodialysis access surgery.
CONCLUSION: Intraoperative fluorescence angiography could visualize the deterioration of ipsilateral hand microperfusion after surgical creation of an arteriovenous fistula. It seems to be a promising tool to detect patients at risk for hemodialysis access-induced distal ischemia early in the peri- or even intraoperative stage. PMID: 30200839 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 12, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Upper arm basilic vein elevation as a solution for forearm ulnar-basilic arteriovenous fistulae with cannulation problems.
Authors: Mallios A, Jennings W, Costanzo A, Boura B, Combes M Abstract BACKGROUND: Ulnar-basilic arteriovenous fistula is an alternative option when a radiocephalic arteriovenous fistula is not feasible. We review our technique of basilic vein transposition in the upper arm for difficult to puncture forearm ulnar-basilic non-transposed arteriovenous fistulae. Technical note: Three patients were referred for forearm ulnar-basilic arteriovenous fistulae with difficult cannulation where the forearm basilic vein was left in situ (non-transposed). Surgeon performed ultrasound examination confirmed a patent arteriovenous...
Source: The Journal of Vascular Access - September 8, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Effect of arteriovenous graft flow rate on vascular access hemodynamics in a novel modular anastomotic valve device.
The objective of this study was to quantify the effects of arteriovenous graft flow rate on modular anastomotic valve device vascular access hemodynamics under realistic hemodialysis conditions. METHODS: Modular anastomotic valve device inlet and outlet flow conditions and velocity profiles were measured by ultrasound Doppler in a vascular access flow loop replicating arteriovenous graft flow rates of 800, 1000, and 1500 mL/min. Fluid-structure interaction simulations were performed to identify low wall shear stress regions on the vein wall and to characterize them in terms of temporal shear magnitude, oscillato...
Source: The Journal of Vascular Access - September 8, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Unstable pseudoaneurysm treatment with stent graft.
Authors: Lee JH, Song JH, Kim H, Yeol Lee D, Oh J, Sin YH, Kim JK, Hwang SD PMID: 30165758 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 1, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Treatment of juxta-anastomotic stenoses for failing distal radiocephalic arteriovenous fistulas: Drug-coated balloons versus angioplasty.
Authors: Patanè D, Failla G, Coniglio G, Russo G, Morale W, Seminara G, Calcara G, Bisceglie P, Malfa P Abstract The aim of our study is to report the results of two types (type A, type B) paclitaxel drug-coated balloon compared with standard percutaneous transluminal angioplasty in the treatment of juxta-anastomotic stenoses of mature but failing distal radiocephalic hemodialysis arteriovenous fistulas. Two groups of 26 and 44 patients treated with two different drug-coated balloon are compared with a control group of 86 treated with standard percutaneous transluminal angioplasty. A color Doppler ultrasound...
Source: The Journal of Vascular Access - September 1, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Endovascular extraction of entrapped long-term central feeding catheter: Case series.
We present four cases of entrapped long-term central venous catheters and describe methods (e.g. endoluminal balloon dilatation and wire snare) performed by experienced cardiologists at high-volume center to remove them. We claim that permanent central venous catheters removal procedures may be unpredictable and hazardous. Therefore, entrapped central venous catheters should be extracted by experienced operators in specialized high-volume centers. PMID: 30165799 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 1, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Novel treatment of a totally occluded venous outflow tract of an arteriovenous graft.
We describe the use of the Crosser vibrational recanalization device for the safe and effective treatment of a chronic total occlusion of the venous outflow tract, thus extending the life of the patient's vascular access for hemodialysis. PMID: 30141357 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 26, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Effects of N-acetylcysteine on arterial neo-intimal hyperplasia in rat model of arteriovenous fistula.
This study was conducted in 24 rats which were randomly divided into two groups: control and N-acetylcysteine groups. An end-to-side anastomosis was made between the femoral artery and vein. The control group received distilled water intraperitoneally while the animals in N-acetylcysteine group received 300 mg/kg/day of N-acetylcysteine via the same route. After 28 days, the thickness of intima and media was measured using hematoxylin and eosin. RESULTS: There was no significant difference between the two groups regarding age ( p = 0.6) and weight ( p = 0.1). The mean intima th...
Source: The Journal of Vascular Access - August 26, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Studying alternative approaches for placement of cuffed hemodialysis catheters in hemodialysis patients with bilateral internal jugular vein occlusion.
DISCUSSION: End-stage renal disease patients maintained on regular hemodialysis who have bilateral internal jugular vein obstruction and non-functioning arteriovenous fistula/graft is a daily scenario in nephrology practice. Our study showed that there is a variety of approaches for the insertion of cuffed hemodialysis catheters other than occluded internal jugular veins. Interventional nephrologists have a major role in solving the problem of poor hemodialysis vascular access. These alternative approaches can conserve the anatomically limited number of percutaneous access sites in each patient. PMID: 30141363 [PubMed ...
Source: The Journal of Vascular Access - August 26, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Vascular access surgery can be safely performed in an ambulatory setting.
CONCLUSION: Arteriovenous access surgery can be safely performed in an ambulatory setting, in spite of complex cases, comorbidities, or the increasing implementation of axillary plexus blocks. Surgical results and patency are good, and complications necessitating readmission remain very low. PMID: 30117363 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 19, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Nurse performed peripheral intravenous catheter first time insertion success in pediatric patients in Bhutan: An observational study.
This study describes peripheral intravenous catheter first attempt success and factors associated with such insertions. METHODS: A cross-sectional survey was conducted from October 2016 to March 2017, comprised of a national sample of the Bhutan pediatric patient population (0-12 years). We collected data on peripheral intravenous catheter first time insertion success rate of admitted pediatric patients, to identify predictors of a successful first time attempt. Clustered log binomial generalized linear models were used to obtain the prevalence of first time attempt success and predictors of success. RESULTS...
Source: The Journal of Vascular Access - August 18, 2018 Category: Surgery Tags: J Vasc Access Source Type: research