Early application of an intermittent pneumatic compression device assists dilation of radiocephalic fistulas.
CONCLUSION: Early application of the Fist Assist® device may be more effective at helping radiocephalic fistula mature as compared to brachiocephalic fistulas. Successful radiocephalic fistula maturation may decrease vascular access costs, reduce complications, and preserve upper arm veins for future use in vascular access. PMID: 30101646 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 15, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Society of Interventional Radiology Reporting Standards for Thoracic Central Vein Obstruction: Endorsed by the American Society of Diagnostic and Interventional Nephrology (ASDIN), British Society of Interventional Radiology (BSIR), Canadian Interventional Radiology Association (CIRA), Heart Rhythm Society (HRS), Indian Society of Vascular and Interventional Radiology (ISVIR), Vascular Access Society of the Americas (VASA), and Vascular Access Society of Britain and Ireland (VASBI).
Authors: Dolmatch BL, Gurley JC, Baskin KM, Nikolic B, Lawson JH, Shenoy S, Saad TF, Davidson I, Baerlocher MO, Cohen EI, Dariushnia SR, Faintuch S, d'Othee BJ, Kinney TB, Midia M, Clifton J, Central Vein Work Group and the Technology Assessment Committee PMID: 30101672 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 15, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Placement of tunneled cuffed catheter for hemodialysis: Micropuncture kit versus Angiocath IV catheter.
Authors: Lee JH, Hwang SD, Song JH, Kim H, Lee DY, Oh JS, Sin YH, Kim JK Abstract INTRODUCTION: Tunneled cuffed catheters provide stable, instantaneous, long-term intravenous access for hemodialysis. Because catheterization is often performed in emergency situations, speed and accuracy are emphasized. METHODS: We retrospectively compared the Micropuncture kit with the standard 18-gauge Angiocath IV catheter for tunneled cuffed catheter insertion in the right jugular vein. From June 2016 to May 2017, 31 tunneled cuffed catheters were successfully inserted via the Micropuncture kit and another 31 via the Angiocat...
Source: The Journal of Vascular Access - August 8, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Late neurological deficit after attempted PICC insertion in the arm.
CONCLUSION: We recommend active surveillance ultrasound (e.g. in the first 24-48 h) of unsuccessful PICC insertion attempts, because late complications may occur and require invasive procedures for treatment. PMID: 30073904 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 8, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

The transposed femoral vein arteriovenous fistula for hemodialysis.
CONCLUSION: Although postoperative complications and need for revision to maintain patency persists, our experience suggests that this is a feasible method when it is no longer possible to create an upper extremity vascular access. A learning curve for the entire vascular access team must be expected. PMID: 30073914 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 8, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Cannulation with sharp or blunt needles for haemodialysis: The importance of cannulation technique for the patient's lifeline.
CONCLUSION: More frequent cannulation with blunt needles can reduce the rate of everyday complications. This practice may additionally reduce patient suffering and the incidence of major complications. PMID: 30056775 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 2, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Ipsilateral transradial access in transarterial embolization of upper extremity bony metastases.
Authors: Pan P, Lee EW, Eghbalieh N, Trieu H Abstract Transarterial embolization of bone tumors is effective in both decreasing intraoperative hemorrhage and alleviating symptoms. Transradial access has been associated with a lower risk of access site complications when compared to transfemoral access. Three cases of transarterial embolization of bony metastases in the upper extremity and shoulder girdle were performed with an ipsilateral transradial access. In each case, significant decrease in tumor blush was noted after embolization, and no auxiliary access site was needed. Positive outcomes were observed in all...
Source: The Journal of Vascular Access - August 2, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Long-term results of thigh arteriovenous dialysis grafts.
CONCLUSION: Arteriovenous thigh graft access is used infrequently, but they have an acceptable patency. Some accesses require revisions and they have a high infection rate. Despite this, an acceptable proportion of leg grafts provide durable access for the dialysis lifetime of the patient. PMID: 30045660 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 29, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Hand embolization due to thrombosed arteriovenous fistulae.
Authors: Elsherif MM, Tubassam MM, Walsh SS PMID: 30016890 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 20, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Improving precision in prediction: Using kidney failure risk equations as a potential adjunct to vascular access planning.
Authors: Inston N, Lok CE Abstract The timing of referral for creation of vascular access in a patient with declining kidney function is difficult to predict. Current methods may result in patients undergoing unnecessary procedures and subsequent interventions on accesses that are never used. Multiple variables, including time for assessment, surgery and follow-up that considers the likelihood of access failure, and the estimated rate of kidney function decline, make vascular access planning challenging and difficult to balance. Better prediction tools that incorporate the risks of progressive decline in kidney fun...
Source: The Journal of Vascular Access - July 15, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Diagnostic and Interventional Nephrology in Spain: A snapshot of current situation.
CONCLUSION: Diagnostic and Interventional Nephrology is slowly spreading in Spain. It includes basic techniques to our specialty, allowing nephrologists to be more independent, efficient, and reducing waiting times and costs, overall improving patient care. Nowadays, more nephrologists aim to perform them. Therefore, appropriate training on different techniques should be warranted, implementing an official certification and teaching programs. PMID: 29984611 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 10, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Guidewire-induced asystole complicating a right internal jugular catheter placement in a patient with pre-existing left bundle branch block: A case report.
Authors: Arafa R, Khammas H, Agrawal A Abstract Internal jugular venous catheters are widely used for hemodialysis as permanent vascular access in patients with severe peripheral vascular disease or transiently for acute hemodialysis. The Seldinger technique is the most widely used technique in catheter insertion. The guidewire-related complications are rare but sometimes it has significant morbidity and mortality. In this case report, we have a patient who developed asystole during catheter insertion which required transvenous pacemaker insertion. PMID: 29984628 [PubMed - as supplied by publisher] (Source: The...
Source: The Journal of Vascular Access - July 10, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Materials and techniques for percutaneous retrieval of intravascular foreign bodies.
This article summarizes and illustrates the main materials and techniques currently applied for percutaneous retrieval of intravascular foreign body, providing a simplified tool with different interventional possibilities, adaptable to different clinical situations. PMID: 29976095 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - July 7, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Central line bundle for prevention of central line-associated bloodstream infection for totally implantable venous access devices (ports) in pediatric cancer patients.
Authors: Devrim İ, Oruç Y, Demirağ B, Kara A, Düzgöl M, Uslu S, Yaşar N, Aydın Köker S, Töret E, Bayram N, Vergin C Abstract OBJECTIVE: The clinical impact of central line bundle programs for central line-associated bloodstream infections has been well demonstrated in intensive care units. However, the experience of central line bundle programs in totally implantable venous access devices (ports) in pediatric-hematology patients was limited. METHODS: A retrospective study was designed to compare and evaluate the clinical impact of implementing a central line bundle for a 2-year 5-...
Source: The Journal of Vascular Access - June 27, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Efficacy and comparison of elevation transposition and lipectomy for superficialization of cephalic arteriovenous fistula veins.
The objective of this report is to compare the outcomes of cephalic elevation transposition with lipectomy. METHODS: The clinical data of patients who underwent second-stage cephalic elevation transposition or lipectomy at an ambulatory surgery center from 2009 to 2017 were analyzed ( n = 153). RESULTS: Comparing the cephalic elevation transposition group ( n = 125) with the lipectomy group ( n = 28), the mean body mass index was 36.8 ± 7.6 versus 38.1 ± 7.2 ( p = 0.41); the percentage of upper arm fistulas was 84% versus 61% ( p 
Source: The Journal of Vascular Access - June 27, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Prospective, randomized controlled comparison of a flash-tip catheter and a traditional intravenous catheter in an urban emergency department.
CONCLUSION: The two catheters tested in this study had comparable rates of first-stick success, but the flash-tip catheter was associated with significantly less blood contamination during insertion attempts. PMID: 29926787 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 27, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Peripherally inserted central catheter with intracavitary electrocardiogram guidance: Malposition risk factors and indications for post-procedural control.
CONCLUSION: This study confirmed the feasibility of intracavitary electrocardiogram for peripherally inserted central catheter positioning and the limits of chest X-ray. Insertion on left side may represent risk factor for aberrant position but our study lacked power to establish a statistical link. PMID: 29936885 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 27, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Experimental study on the hemostatic effect of cyanoacrylate intended for catheter securement.
CONCLUSION: This study indicates that cyanoacrylate demonstrates a potent mechanical hemostatic effect and cyanoacrylate in the presence of anticoagulated whole blood has an activated clotting time that is 12 times quicker than thromboplastin. The cyanoacrylate was found to be significantly equivalent to two known hemostatic agents, in vivo. PMID: 29923442 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 22, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Clinical outcomes of totally implantable venous access port placement via the axillary vein in patients with head and neck malignancy.
CONCLUSION: These data indicate that totally implantable venous access port implantation via the axillary vein in patients with head and neck malignancy is safe and feasible, with a low axillary vein access-related complication rate. PMID: 29923460 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 22, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Abstracts from the 5th World Congress on Vascular Access WoCoVA 2018 June 20-22, 2018, Copenhagen, Denmark.
Authors: PMID: 29909750 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 20, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

American Society for Diagnostic and Interventional Nephrology (ASDIN) 14th Annual Scientific Meeting (Salt Lake City, Utah) Abstracts.
Authors: PMID: 29898624 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 16, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Efficacy of urokinase lock to treat thrombotic dysfunction of tunneled hemodialysis catheters: A retrospective cohort study.
Authors: Van Hulle F, Bonkain F, De Clerck D, Aerden D, Vanwijn I, Tielemans C, Wissing KM Abstract BACKGROUND: There are few data to inform decisions about the optimal management of occluded tunneled cuffed hemodialysis catheters with thrombolytic locking solutions. The effect of dose, dwell-time, and number of administrations remains controversial. METHODS: In this retrospective single-center review of tunneled cuffed catheters used between 2010 and 2014, restoration of blood flow as well as pre- and post-pump pressures after either short (30 min) or prolonged (48-72 h) administration of 100,000...
Source: The Journal of Vascular Access - June 13, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Subjective Global Assessment-Dialysis Malnutrition Score and arteriovenous fistula outcome: A comparison with Charlson Comorbidity Index.
CONCLUSION: Subjective Global Assessment-Dialysis Malnutrition Score, as well as Charlson Comorbidity Index, are useful tools to predict vascular access failure and should be carefully and periodically evaluated in order to check significant variations that may compromise vascular access survival. PMID: 29874975 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 9, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

An unusual complication after placement of an inferior vena cava filter via right internal jugular vein access.
CONCLUSION: Iatrogenic fracture of totally implantable venous access device is a potential complication of accessing the internal jugular vein for other procedures such as insertion of inferior vena cava filter. PMID: 29855215 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - June 3, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Rupture of a true brachial artery aneurysm in a kidney transplant patient after arteriovenous fistula ligation: A rare presentation of an unusual disease.
Authors: Rodrigues R, Anacleto G, Lima P, Gonçalves A, Gonçalves Ó PMID: 29843551 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 31, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Early cannulation grafts for haemodialysis: An updated systematic review.
CONCLUSION: This review confirms that early cannulation is not detrimental on the early outcome of early cannulation graft patencies. It has also shown that both Vectra and Avflo grafts have adequate long-term patencies. The data do not allow specific graft recommendations, as comparative trials would be required. PMID: 29843554 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 31, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

No consensus on physicians' preferences on vascular access management after kidney transplantation: Results of a multi-national survey.
CONCLUSION: Although respondents recognize a reduced left ventricular ejection fraction and a high flow as the risk factors, the high disagreement on management preferences suggests that evidence is inconclusive to recommend arteriovenous fistula ligation or maintenance after kidney transplantation. More research is needed to determine optimal arteriovenous fistula management after successful kidney transplantation. PMID: 29843559 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 31, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Malposition of a central venous catheter into azygos vein.
Authors: Khavanin Zadeh M, Mohit A, Iranpour A, Alemrajabi M PMID: 29806515 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 30, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Percutaneous leadless pacemaker implantation in a patient with bilateral venous thoracic outlet syndrome.
Authors: Beurskens NE, Tjong FV, Knops RE, Peters RJ PMID: 29792384 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 26, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Early application of an intermittent pneumatic compression device is safe and results in proximal arteriovenous fistula enlargement.
CONCLUSIONS: Early application of an intermittent pneumatic compression device may assist in arteriovenous fistula dilation and are safe. Non-invasive devices like Fist Assist may have clinical utility to help fistulae development and decrease costs as they may eventually assist maturation. PMID: 29783914 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 24, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Randomized pilot study to compare metal needles versus plastic cannulae in the development of complications in hemodialysis access.
CONCLUSION: Decreased burden of illness related to cannulation (less infiltrations during hemodialysis) and Qb were associated with plastic cannulae. Decreased procedure costs were suggested during the study period in the plastic group. PMID: 29772982 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 20, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Infiltration and extravasation in pediatric patients: A prevalence study in a children's hospital.
CONCLUSION: The infiltration and extravasation prevalence were found to be high, but the interventions to address them were inadequate. Training and implementation strategies should be planned for pediatric nurses to prevent infiltration and extravasation. PMID: 29772983 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 20, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Pain upon inserting a peripheral intravenous catheter: Size does not matter.
CONCLUSION: Inserting a smaller sized peripheral intravenous catheter did not result in a lower pain sensation. Moreover, to prevent pain upon inserting a peripheral intravenous catheter, an unsuccessful attempt must be avoided. PMID: 29772984 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 20, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Cervical spondylodiscitis subsequent to peripherally inserted central catheter-related sepsis: A case report.
Authors: Leoni MLG, Terranova G PMID: 29772985 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 20, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Is the removal of a central venous catheter always necessary in the context of catheter-related right atrial thrombosis?
In conclusion, the combination therapy here described was safe, quick and effective, achieving the goal of not removing the catheter. PMID: 29749281 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 13, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

A pilot study to measure vascular compliance changes during fistula maturation using open-source software.
CONCLUSION: This study demonstrates that the change in vessel diameter and distensibility related to the healthy remodeling as the vein dilates during maturation. PMID: 29742952 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 11, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Abnormalities of vascular histology and collagen fiber configuration in patients with advanced chronic kidney disease.
Authors: Allon M, Litovsky SH, Tey JCS, Sundberg CA, Zhang Y, Chen Z, Fang Y, Cheung AK, Shiu YT Abstract INTRODUCTION: Several histologic features have been identified in the upper-extremity arteries and veins of patients with advanced chronic kidney disease, which may affect arteriovenous fistula maturation. However, it is unclear whether these chronic kidney disease vascular features are abnormal. METHODS: We obtained upper-extremity arterial and venous specimens from 125 advanced chronic kidney disease patients undergoing arteriovenous fistula creation and from 15 control subjects. We quantified medial fibr...
Source: The Journal of Vascular Access - May 11, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

New insertion support device assisted the accurate placement of tunneled cuffed catheter: First experience of 10 cases.
CONCLUSION: Our newly developed insertion support device enhances safety and prevents catheter waste during replacement. PMID: 29722286 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 4, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Ultrasound-guided central venous tip confirmation via right external jugular vein using a right supraclavicular fossa view.
CONCLUSION: A right supraclavicular fossa view improves the accuracy of central venous catheter tip positioning and prevents central venous catheter misplacement via the right external jugular vein. PMID: 29722288 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - May 4, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Does blood flow restriction training increase the diameter of forearm vessels in chronic kidney disease patients? A randomized clinical trial.
CONCLUSION: Physical training associated with blood flow restriction increased cephalic vein diameters in both groups and was effective in increasing the diameter of the radial artery; however, it did not demonstrate superiority over the exercise group protocol without blood flow restriction. PMID: 29701119 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 29, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Comparison of two types of catheters through femoral vein catheterization in patients with lung cancer undergoing chemotherapy: A retrospective study.
This study aimed to investigate the effects and complications of different types of peripherally inserted central catheters through femoral vein catheterization in patients with lung cancer undergoing chemotherapy. METHODS: A retrospective analysis of 158 patients with lung cancer undergoing implantation of a venous access through femoral vein catheterization was performed. The patients were divided into two groups by convenience sampling: the single-lumen silicone Groshong peripherally inserted central catheters with valved tip were used in patients in group A, the single-lumen power-injectable polyurethane peripheral...
Source: The Journal of Vascular Access - April 29, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

The United Kingdom and Ireland experience of the Haemodialysis Reliable Outflow graft for vascular access.
CONCLUSION: The Haemodialysis Reliable Outflow graft provides acceptable 12-month secondary patency rates and acceptable complication rates in a UK and Ireland multi-centre series of complex access patients. Haemodialysis Reliable Outflow should be considered in patients with central pathology as a potential alternative to lower limb grafts and long-term central venous catheters. PMID: 29681225 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 24, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Chlorhexidine-coated peripherally inserted central catheters reduce fibroblastic sleeve formation in an in vivo ovine model.
CONCLUSION: Among the three anti-thrombogenic peripherally inserted central catheter technologies, the chlorhexidine-peripherally inserted central catheter had the smallest fibroblastic sleeves, followed by the fluoro-oligomer-peripherally inserted central catheter, poly 2-methoxyethyl acrylate-peripherally inserted central catheter, and control peripherally inserted central catheter. PMID: 29683086 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 24, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Tunnelling a midline catheter: When the traffic light shifts from yellow to green.
CONCLUSION: The placement of the tunnelled midline catheter is shown to be a safe and effective way to ensure vascular access for almost 2 months. PMID: 29642728 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 14, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Long-term outcomes of bovine pericardial patch angioplasty for recurrent stenosis in vascular access: A UK single-centre experience.
CONCLUSION: Bovine pericardial patch angioplasty for recurrent stenosis in arteriovenous fistulae for dialysis access provides a robust alternative to other surgical patches with the added advantage of allowing early needling and relative resistance to infection. Rates of restenosis and failure post bovine pericardial patch are low. PMID: 29642730 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 14, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

The intracavitary electrocardiography method for tip location of jugular internal vein access device in infants of less than 5 kg: A pilot study.
CONCLUSION: The intracavitary electrocardiography method for tip location of central venous access device is safe and accurate in infants, as demonstrated by post-procedural comparative echocardiographic controls. As an alternative to echocardiography, not always achievable, the diffusion of intracavitary electrocardiography method could reduce X-ray exposition and complications of a malpositioned tip. PMID: 29651905 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 14, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Physical examination of the hemodialysis arteriovenous fistula to detect early dysfunction.
Authors: Abreo K, Amin BM, Abreo AP Abstract The maintenance of vascular access patency for end-stage renal disease patients on hemodialysis is necessary for survival. Many nephrologists, nurse practitioners, and nurses have limited experience with the physical examination of the arteriovenous fistula. In this review, we define key terms used in the assessment of an arteriovenous fistula. We discuss the arteriovenous fistula physical exam, including details of inspection, palpation, and auscultation. Using these concepts, we review the abnormal findings that can assist practitioners in determining the location of a...
Source: The Journal of Vascular Access - April 10, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Evaluation of EMLA cream for relieving pain during needle insertion on totally implantable venous access device.
Authors: Yin L, Jiang S Abstract PURPOSE: Needle insertion is a routine procedure performed on cancer patients with totally implantable venous access device. Although this procedure is painful for most of the patients, it is regularly performed without topical application of local anesthetics. In our study, we assess the degree of pain associated with different duration times of EMLA cream. METHODS: A total of 361 cancer patients with totally implantable venous access devices were randomly divided into three groups: group 1-placebo, group 2-30 min after application of EMLA, and group 3-60 min afte...
Source: The Journal of Vascular Access - April 10, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Haemodialysis access thrombosis: Outcomes after surgical thrombectomy versus catheter-directed thrombolytic infusion.
CONCLUSION: Thrombolysis for thrombosis of native and prosthetic dialysis accesses appears to yield better assisted primary patency compared to surgical thrombectomy. Our results suggest that thrombolysis may be considered the first-choice method for treating the thrombosed dialysis access. PMID: 29614907 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 6, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Peritoneal dialysis catheter insertion surgery and management.
Authors: Yoshida K, Ishii D Abstract Peritoneal access surgery is the first step to achieve successful peritoneal dialysis. It is important to perform easy, safe, and less invasive surgery of peritoneal dialysis catheter insertion. Secure peritoneal dialysis catheter insertion will lead to less infection, that is, exit site, tunnel infection, and peritonitis, which sometimes result in peritoneal dialysis discontinuation. To avoid these undesirable results, we should perform good and proper peritoneal dialysis insertion surgery. In this article, we describe peritoneal dialysis catheter insertion surgery and its mana...
Source: The Journal of Vascular Access - March 31, 2018 Category: Surgery Tags: J Vasc Access Source Type: research