Ultrasound-guided supraclavicular brachiocephalic vein catheterization in children: Syringe-free in-plane technique with micro-convex probe.
We present a case series of successful cannulation by using this technique. PMID: 32174238 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 18, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

A case of unexpected peripherally inserted central catheter removal from a colorectal cancer patient with cetuximab-induced skin toxicity and contact dermatitis at the peripherally inserted central catheter insertion site: Should we recommend the patient to choose subcutaneous port preferentially?
CONCLUSIONS: We suggest that metastatic colorectal cancer patients treated with cetuximab should be recommended to choose subcutaneous port preferentially to avoid potential risk of unexpected peripherally inserted central catheter removal due to cetuximab-induced skin toxicity or contact dermatitis. Further clinical practices and researches are needed for more profound evidences for better practical suggestions. PMID: 32167004 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 14, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Analysis of factors for post-percutaneous transluminal angioplasty primary patency rate in hemodialysis vascular access.
Authors: Miyamoto K, Sato T, Momohara K, Ono S, Yamaguchi M, Katsuno T, Sakurai H, Imai H, Ito Y Abstract BACKGROUND: Although percutaneous transluminal angioplasty has been established as a first-line therapy for access failure in dialysis, there are few reports on primary patency after percutaneous transluminal angioplasty. We investigated factors associated with primary patency following the first percutaneous transluminal angioplasty performed after vascular access construction in patients with arteriovenous fistula, including blood flow volume before and after percutaneous transluminal angioplasty and previous...
Source: The Journal of Vascular Access - March 14, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

A novel technique to restore access in patients with central venous occlusion using the Surfacer ® Inside-Out® Access Catheter System.
A novel technique to restore access in patients with central venous occlusion using the Surfacer® Inside-Out® Access Catheter System. J Vasc Access. 2020 Mar 07;:1129729820909730 Authors: Baetens TR, Rotmans JI, van der Meer RW, van Rijswijk CS Abstract Exhausted central venous access is a potentially life-threatening situation for patients dependent on haemodialysis. If standard guidewire recanalisation fails, unconventional venous access or central venous needle recanalisation can be considered but are often associated with higher rates of complications and/or dysfunction. Here, we report abo...
Source: The Journal of Vascular Access - March 11, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Centrally inserted tunnelled peripherally inserted central catheter: Off-label use for venous access in oncology patients.
CONCLUSION: Centrally placed tunnelled peripherally inserted central catheter is a promising alternative method, when conventional arm peripherally inserted central catheter placement is not feasible. It is an easy and safe procedure that can be performed under local anaesthesia. PMID: 32133909 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Effects of passive music therapy on anxiety and vital signs in lung cancer patients undergoing peripherally inserted central catheter placement procedure.
CONCLUSION: Passive music therapy can efficiently relieve the anxiety of lung cancer patients during peripherally inserted central catheter placement. It also can lower the patient's diastolic blood pressure and slow down the heart rate. So, music therapy benefits patients with peripherally inserted central catheter. PMID: 32141365 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Massive hemoptysis following cannulation of right internal jugular vein for insertion of cuffed hemodialysis catheter: A rare complication of central venous catheterization.
Authors: Ghoddusi Johari H, Lashkarizadeh MM, Mardani P, Shahriarirad R Abstract Here we report an extremely rare presentation of internal jugular vein catheterization, presenting as massive hemoptysis which was noted during right internal jugular vein cuffed hemodialysis catheter insertion of a 39-year-old man known-case of End-Stage Renal Disease. Chest roentgenogram and computerized tomography scan showed pleural effusion and misplacement of the tip of hemodialysis catheter in the posterior mediastinum causing possible damage to the right main bronchus. After chest tube insertion and removing the misplaced hemod...
Source: The Journal of Vascular Access - March 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Single-centre experience of an early cannulation graft for haemodialysis access.
CONCLUSION: In our experience, we have found the use of the early cannulation graft Flixene to be safe with a low complication rate and favourable patency rates. We believe these early cannulation grafts provide a useful addition for vascular access surgeons preventing the use of tunnelled lines and providing more flexibility in the timing of placing a graft for dialysis. PMID: 32141378 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Transthoracic echocardiography as bedside technique to verify tip location of central venous catheters in patients with atrial arrhythmia.
CONCLUSION: Tip location of central venous catheter by transthoracic echocardiography with bubble test is feasible, safe, and accurate in patients with atrial arrhythmia. This method can also be applied in peripherally inserted central catheters; however, further studies may be needed to confirm its use in this type of catheters. PMID: 32126882 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 6, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Changing the syringe pump: A challenging procedure in critically ill patients.
CONCLUSION: The syringe change can be a very critical moment given different influencing variables. Syringe pump position, displaced higher than the patient level, always generates a medication bolus that is higher at the lowering of the central venous pressure value. The presence of a neutral displacement needle-free connector reduces the incidence of boluses. When the pump is placed at the patient level, the presence of neutral displacement needle-free connector reduces the establishment of boluses, even in a central venous pressure of -5 mmHg simulations. PMID: 32126883 [PubMed - as supplied by publisher] (So...
Source: The Journal of Vascular Access - March 6, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Vascular access in lipoprotein apheresis: Save the vein save the life.
Authors: Pianelli M, Luciani R, Sbrana F, Dal Pino B, Bigazzi F, Sampietro T PMID: 32114871 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 4, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound-guided proximal versus distal axillary vein puncture in elderly patients: A randomized controlled trial.
This study aims to compare the puncture success rate and anatomical characteristics between these two approaches. METHODS: Senior patients requiring central venous catheterization were enrolled and randomized to the proximal axillary vein group (n = 49) or the distal axillary vein group (n = 50). Proximal axillary vein and distal axillary vein location time, venous depth, maximum diameter, and collapse index (defined as the percentage change in vein width caused by respiration) were recorded for all patients. The rate of puncture success and operation time were compared between groups. R...
Source: The Journal of Vascular Access - March 4, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

(F)utility of "routine" postprocedural chest radiograph after hemodialysis catheter (central venous catheter) insertion.
(F)utility of "routine" postprocedural chest radiograph after hemodialysis catheter (central venous catheter) insertion. J Vasc Access. 2020 Feb 29;:1129729820907259 Authors: Parmar MS Abstract A routine postprocedural chest radiograph had been a safe, checklist-based final step of the procedure, since the start of central venous catheter insertion for hemodialysis to check the position of the catheter tip and to rule out complications. However, the chest radiograph is a suboptimal method to rule out complications like pneumothorax and is not a reliable test to confirm its position. Although ...
Source: The Journal of Vascular Access - March 4, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Syringe-free technique in children: Comment on: Ultrasound-guided supraclavicular brachiocephalic vein catheterization in children: Syringe-free in-plane technique with micro-convex probe.
Authors: Uzumcugil F PMID: 32106755 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 1, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound-guided tip location of midline catheters.
CONCLUSION: The ideal position of the tip of a midline catheter might be inside the axillary vein, about 3 cm distal to the axillary-subclavian transition or inside the subclavian vein. Ultrasound-guided tip location is safe, inexpensive, easy and potentially useful during midline catheters insertion. PMID: 32106761 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 1, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Early echocardiographic modifications after flow reduction by proximal radial artery ligation in patients with high-output heart failure due to high-flow forearm arteriovenous fistula.
CONCLUSIONS: AVF flow reduction after PRAL induces immediate regression of CHF symptoms, early improvement of TAPSE and late improvement of PAPS, suggesting a prevalent right sections involvement in CHF. Preoperative TAPSE modification after AVF anastomosis compression could represent a useful evaluation tool to determine which patients would benefit of PRAL. PMID: 32103699 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 29, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound-guided fascia closure as bailout technique for large-bore percutaneous femoral access failure: Report of two cases.
Authors: Baldino G, Rossi UG, Di Gregorio S, Gori A Abstract Percutaneous endovascular abdominal aortic aneurysm repair is nowadays considered a safe and effective procedure and has gained widespread globally acceptance. However, intraoperative persistent bleeding due to percutaneous access closure device failure can occur. Open conversion is first-line treatment to manage this complication. The fascia suture technique was introduced as an alternative to access closure device or as a solution to manage unsatisfactory hemostasis during percutaneous endovascular abdominal aortic aneurysm repair. In this article, we r...
Source: The Journal of Vascular Access - February 26, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Factors influencing outcomes of rheolytic thrombectomy on thrombosed dialysis access grafts: Door to angiographic bed time and what else?
CONCLUSION: Percutaneous rheolytic thrombectomy is safe and effective for thrombosed arteriovenous grafts, with acceptable primary and secondary patency rates. Higher clinical success was found in patients never treated before and when the procedure was carried out within 24 h from the clinical onset of thrombosis. PMID: 32081070 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

The right methodology for long-term vascular access research: Three burning questions.
Authors: Balsorano P, Pinelli F Abstract Over the last 20 years, there has been a great proliferation of studies of different aspects of the long-term vascular access field. Despite the availability of such studies, methodological pitfalls surrounding long-term vascular access research are rarely mentioned. Methodological issues inherent to retrospective analyses make them very poor tools for providing generalizable results, as they often become estimates of local experiences rather than reflections of up-to-date practices. Second, despite being an often-ignored element when designing studies on catheter-rel...
Source: The Journal of Vascular Access - February 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Impact of body posture change on peripherally inserted central catheter tip position in Chinese cancer patients.
Authors: Liu C, Jiang D, Jin T, Chen C, Shi R, Liu L, Mao J, Gu L, Xu L, Meng A Abstract PURPOSE: To evaluate the influence of body posture change on the peripherally inserted central catheter tip position in Chinese cancer patients. METHODS: A prospective observational trial was conducted in a tertiary cancer hospital from August to September 2018. After the insertion of peripherally inserted central catheter, chest X-ray films were taken to check the catheter tip in the upright and supine positions, respectively. The distance from the carina to the catheter tip was separately measured on both chest films by n...
Source: The Journal of Vascular Access - February 20, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Managing chemotherapy extravasation in totally implantable central venous access: Use of subcutaneous wash-out technique.
CONCLUSION: This study would argue for the feasibility and effectiveness of subcutaneous wash-out in the treatment of chemotherapy extravasations. PMID: 32056485 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 16, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Clinical impact of needle-free connector design: A systematic review of literature.
The objective of this systematic review is to analyze types of needle-free connectors and open systems and their effects on central line-associated bloodstream infection rates and other adverse outcomes through a research protocol consistent with the Preferred Reporting Items for Systematic Reviews' recommendations. MEDLINE and Cochrane databases of systematic reviews were searched for relevant comparative studies published from January 2000 to September 2017. Eighteen studies compared central line-associated bloodstream infection (according to the Centers for Disease Control and Prevention/National Healthcare Safety Netwo...
Source: The Journal of Vascular Access - February 16, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Derivation of a procedural performance checklist for ultrasound-guided femoral arterial line placement using the modified Delphi method.
CONCLUSION: A procedural performance checklist was created for ultrasound-guided femoral arterial access using the modified Delphi method. This is an objective tool to assist procedural training and competency assessment in a variety of clinical and educational settings. PMID: 32033520 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 10, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Patency and functionality of radiocephalic arteriovenous fistulas with an external support device (VasQ ™): Real-world single-center experience.
CONCLUSION: Data presented here suggest that the VasQ device has the potential to provide benefit to the functionality of radiocephalic arteriovenous fistulae. PMID: 32026749 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 7, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Technical note: An alternative method for AV access superficialization.
CONCLUSION: The technique described allows elevation of the vein to the level of the dermis without division and re-anastomosis or re-tunneling, through several small incisions maintaining virgin skin and normal contour for easier cannulation. PMID: 31992105 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 31, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

The effect of angioplasty of single arteriovenous fistula-associated stenosis on arteriovenous fistula blood flow rate.
Authors: Nassar GM, Beathard G, Nguyen DT, Graviss EA Abstract INTRODUCTION: Percutaneous balloon angioplasty of arteriovenous fistula-associated stenosis is performed for a variety of indications. Successful percutaneous transluminal angioplasty (PTA) is expected to increase in arteriovenous fistula blood flow rate (Qa). A validated approach to predicting changes in Qa based upon stenosis characteristics is not available. METHODS: Three baseline parameters were determined in a group of patients with a single arteriovenous fistula-associated stenosis undergoing PTA. These were percent estimated stenosis, stenos...
Source: The Journal of Vascular Access - January 31, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Intravascular ultrasound imaging for the optimization of dialysis access interventions.
Authors: Patel D Abstract Intravascular ultrasound allows for detailed imaging of the dialysis access anatomy. Accurate visualization and precise measurements of the anatomy can be obtained using intravascular ultrasound, while limiting contrast usage and radiation exposure. Intravascular ultrasound allows for a true appreciation of stenosis morphology and can further guide endovascular management decisions, with a particular benefit in management of central venous lesions. Here, we describe a series of cases that together highlight the advantages of using intravascular ultrasound in the evaluation and management o...
Source: The Journal of Vascular Access - January 30, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Cost-utilization of peripheral intravenous cannulation in hospitalized adults: An observational study.
CONCLUSION: Prevention of multiple attempts may lower the costs, and furthermore, additional technologies applied by nurses to individual patients based on predicted difficult intravenous access will make the application of these additional technologies, in turn, more efficient. PMID: 31969049 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 24, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Nurses' knowledge of the management of drug-induced peripherally inserted central catheter obstruction: A descriptive phenomenological study.
CONCLUSION: This research has shown that inconsistent practice in the management of drug-induced peripherally inserted central catheter obstruction is a more complex issue than originally thought. These inconsistencies are related to time pressure on nurses, nurses' knowledge of peripherally inserted central catheter obstruction, and limitations of the clinical work model. PMID: 31960762 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 23, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Feasibility for arteriovenous fistula creation with Ellipsys ®.
CONCLUSION: More than 60% of patients were eligible for Ellipsys. The absence of veins at the elbow and a large distance between vessels were the most common limiting factors. Less than one half of the patients were candidates for surgical fistula and this percentage dropped significantly for older individuals. PMID: 31928135 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 14, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound-guided percutaneous retrieval of transected radial artery catheter.
Authors: Derycke L, Mallios A Abstract OBJECTIVE: To report our technique for percutaneous ultrasound-guided retrieval of accidentally transected arterial lines. CASES DESCRIPTION: Two patients are reported herein; in both of these patients, a part of the 20-gauge catheter inserted for invasive monitoring of their blood pressure in the intensive care unit was accidentally transected with part of the catheter remaining in the radial artery. Both patients were initially asymptomatic; therefore, a minimally invasive technique was sought to remove the catheters without inducing significant risk. Under local anesthe...
Source: The Journal of Vascular Access - January 14, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Vacuum-assisted mechanical thrombectomy in extensively occlusive thrombosis of dialysis arteriovenous grafts with indigo system.
CONCLUSION: Percutaneous mechanical thrombectomy aspiration with Indigo System is a relatively safe and effective procedure and can be used even in extensively thrombosed arteriovenous graft. PMID: 31928304 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 14, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Non-randomized safety and performance evaluation of the av-Guardian vascular access system.
CONCLUSION: The results demonstrated the safety and feasibility of a subcutaneously implanted, extravascular device in achieving repeatable successful cannulation via a constant site, to facilitate blunt needling in matured arteriovenous fistula in limited number of patients. PMID: 31920144 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 11, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Effects of hemodialysis access type on right heart geometry in adolescents.
This study aimed to investigate the complication frequency and the changes in right heart geometry with different access types in the pediatric population. METHODS: We included 32 consecutive patients aged between 10 and 19 and who underwent hemodialysis sessions via permanent hemodialysis catheter (nHC = 18) or arterio-venous fistula (nAVF = 14) between January 2013 and March 2018. We recorded and compared the complication frequency and the changes in echocardiography findings with different access types. FINDINGS: Demographic data were similar in both groups. Number of new access creat...
Source: The Journal of Vascular Access - January 11, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound evaluation of percutaneously created arteriovenous fistulae between radial artery and perforating vein at the elbow.
CONCLUSIONS: pAVF have a favourable hemodynamic profile with many similarities when compared with surgically created wrist fistulae. Cephalic and/or basilic vein matured with only minor outflow shunted to the deep venous system. PMID: 31920156 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 11, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Economic evaluation of peripherally inserted central catheter and other venous access devices: A scoping review.
CONCLUSION: This scoping review highlighted the desperate paucity of economic evaluation studies of peripherally inserted central catheters and other venous access devices in amount, evaluation contents, and economic evaluation methods. The conclusions of the cost-effectiveness analysis of peripherally inserted central catheters with other venous access devices were consistent. Conversely, the conclusions of the cost analysis of peripherally inserted central catheters with other venous access devices were inconsistent mainly in the comparison of peripherally inserted central catheters with peripheral intravenous catheters,...
Source: The Journal of Vascular Access - January 4, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

WavelinQ created arteriovenous fistulas versus surgical radiocephalic arteriovenous fistulas? A single-centre observational study.
Authors: Inston N, Khawaja A, Tullett K, Jones R Abstract PURPOSE: Devices to permit percutaneous endovascular arteriovenous fistula formation have recently been introduced into clinical practice with promising initial evidence. As guidelines support a distal fistula first policy, the question of whether an endovascular arteriovenous fistula should be performed as an initial option is introduced. The aims of this study were to compare a matched cohort of endovascular arteriovenous fistula with surgical radiocephalic arteriovenous fistulas. MATERIALS AND METHODS: Using data from a prospectively collected databas...
Source: The Journal of Vascular Access - January 4, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Smart Flow for the evaluation of the hemodialysis arteriovenous fistula.
Authors: Colucci M, Torreggiani M, Bernardi I, Stangalino S, Catucci D, Esposito V, Sileno G, Esposito C Abstract BACKGROUND: Smart Flow is an innovative tool available on the Carestream Touch Prime Ultrasound machines, which provides automated blood flow measurement and shows the vectors that form the blood flow in the vessel. We compared the use of Smart Flow with traditional Duplex Doppler Ultrasound to evaluate blood flow of arteriovenous fistulas in prevalent hemodialysis patients. METHODS: A total of 31 chronic patients on hemodialysis were enrolled. Blood flow was measured on the brachial artery with Sma...
Source: The Journal of Vascular Access - January 4, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

ASDIN white paper: Assessment and management of hemodialysis access-induced distal ischemia by interventional nephrologists.
Authors: Beathard GA, Jennings WC, Wasse H, Shenoy S, Hentschel DM, Abreo K, Urbanes A, Nassar G, Dolmatch B, Davidson I, Asif A Abstract Although not common, hemodialysis access-induced distal ischemia is a serious condition resulting in significant hemodialysis patient morbidity. Patients with signs and symptoms suggestive of hand ischemia frequently present to the general and interventional nephrologist for evaluation. In order to care for these cases, it is necessary to understand this syndrome and its management. Most cases can be managed conservatively without intervention. Some cases requiring intervention m...
Source: The Journal of Vascular Access - January 1, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Relationship of arteriovenous fistula stenosis and thrombosis with the platelet-lymphocyte ratio in hemodialysis patients.
Authors: Sarioglu O, Capar AE, Belet U Abstract BACKGROUND: The platelet-lymphocyte ratio, which was reported to have a strong relationship with chronic inflammation and thrombosis, is a useful biomarker. The purpose of this study was to evaluate the relationship between the platelet-lymphocyte ratio, arteriovenous stenosis, and thrombosis in patients with chronic renal failure. METHODS: Patients who were referred to our interventional radiology department due to arteriovenous fistula dysfunction from dialysis units between August 2015 and December 2018 were retrospectively reviewed. In the study, 95 patients w...
Source: The Journal of Vascular Access - January 1, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Characteristics of non-mature but functional autogenous radiocephalic fistulas in hemodialysis patients: A prospective cohort study.
CONCLUSION: The baseline diameter of the cephalic vein was the only predictor of arteriovenous fistula maturation based on the pre-operative ultrasound measurements in Chinese hemodialysis patients. PMID: 31884877 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - January 1, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Cannulation of the superficial femoral vein at mid-thigh when catheterization of the superior vena cava system is contraindicated.
CONCLUSION: The technique of femoral inserted central catheters insertion via the superficial femoral vein at the mid-thigh has a high success rate, low complication rate, and less impact on activities, and is easy to maintain. This phenomenon resolves the patient's needs of medium- to long-term infusion therapy with limited catheterization of superior vena cava system. PMID: 31875776 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 28, 2019 Category: Surgery Tags: J Vasc Access Source Type: research

Endovascular salvage of non-maturing autogenous arteriovenous fistulas by using angioplasty and competitive vein embolization.
CONCLUSION AND DISCUSSION: Angioplasty and coil embolization are successful and safe procedures that can convert a non-mature fistula into a mature one in more than 80% of patients. Accessory vein embolization may be more important than collateral vein embolization in the presence of stenosis. PMID: 31865843 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 25, 2019 Category: Surgery Tags: J Vasc Access Source Type: research

Outcomes of post-operative duplex ultrasound following arteriovenous fistula formation: A pragmatic single-centre experience.
This study aims to determine whether post-operative duplex ultrasound surveillance can improve fistula patency at 12 months and improve the proportion of 'pre-haemodialysis' patients commencing haemodialysis via a usable fistula. METHODS: All arteriovenous fistulae formed between 1st January 2015 and 31st August 2017 in a single, tertiary vascular centre were included. Primary and secondary patency at 12 months, along with the proportion of pre-haemodialysis patients commencing haemodialysis via a usable arteriovenous fistula, were compared between the fistulae undergoing duplex ultrasound surveillance an...
Source: The Journal of Vascular Access - December 25, 2019 Category: Surgery Tags: J Vasc Access Source Type: research

Simultaneous placement of leadless pacemaker and dialysis catheter in patient with exhausted vasculature.
We present a case report where both situations occur simultaneously. Using recent development in cardiac pacing-leadless cardiac pacemaker-we manage to overcome the vascular access problem. The described case emphasizes the necessity of multispecialty collaboration and gains of new pacing technology in patients who need placement of vascular access for hemodialysis and cardiac implantable electronic device where vascular access is scarce. PMID: 31868084 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 25, 2019 Category: Surgery Tags: J Vasc Access Source Type: research

Arteriovenous graft in kidney transplant patients: Lookout for the rare but fearsome angiosarcoma.
CONCLUSION: This case emphasizes the importance of including inspection of the vascular access (functioning or not) in regular post-transplant consultation and value any alterations in the attempt of a timely diagnosis. Although rare, angiosarcoma is an important entity that should be considered in the differential diagnosis of soft tissue masses arising from a vascular access, especially in immunocompromised patients. Aggressive treatment should be offered whenever possible. PMID: 31856637 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 22, 2019 Category: Surgery Tags: J Vasc Access Source Type: research

Early cannulation of percutaneously created arteriovenous hemodialysis fistulae.
CONCLUSION: The results of this study suggest that the possibility of successful early cannulation with a percutaneous arteriovenous fistula can be considered as an additional factor in making this access a reasonable alternative for a surgically created arteriovenous fistula in appropriate patients. PMID: 31854231 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 21, 2019 Category: Surgery Tags: J Vasc Access Source Type: research

Implanting totally implantable venous access ports in the upper arm is feasible and safe for patients with early breast cancer.
CONCLUSION: Implanting totally implantable venous access ports in the upper arm is feasible and safe for patients with early breast cancer, with a low rate of complications, providing good alternative to central venous ports. PMID: 31841061 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 18, 2019 Category: Surgery Tags: J Vasc Access Source Type: research

A case of dissection in an ACUSEAL-modified HeRO graft.
CONCLUSION: This case demonstrates a serious yet previously undescribed complication of cannulation of an ACUSEAL graft. The trilaminar construction of the graft may increase the likelihood of disruption of the luminal layer during repeated needling and predispose it to dissection. Given the consequences of graft failure in such patients, urgent intervention is warranted when graft dissection is suspected. PMID: 31841080 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 18, 2019 Category: Surgery Tags: J Vasc Access Source Type: research

Can the fistula arm be used to lift heavy items? Six-pound dumbbells versus handgrip exercise in a 6-month follow-up secondary analysis of a randomized controlled trial.
CONCLUSION: Hemodialysis patients can safely use their fistula arm to lift objects weighing less than 6 lb, which encourages increased motion and helps preserve the functionality of the fistula arm. PMID: 31829085 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 14, 2019 Category: Surgery Tags: J Vasc Access Source Type: research