Transulnar approach as an alternative to transradial approach in non-coronary intervention: safety, feasibility and technical factors.
This study evaluates the safety and efficacy of TUA in patients undergoing visceral interventions in the setting of contraindication to TRA. MATERIALS AND METHODS: Patients who underwent visceral interventions via ulnar approach were included in the study. Outcome variables include technical success, access site and bleeding complications. RESULTS: From May 2014 to September 2016, TUA was attempted 17 times in 14 patients (mean age: 60 years; range: 27 to 81 years) for whom TRA was planned for visceral intervention, but contraindicated. Contraindication to TRA included Barbeau D waveform (n = 3), radial artery diameter
Source: The Journal of Vascular Access - April 22, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Adding access blood flow surveillance reduces thrombosis and improves arteriovenous fistula patency: a randomized controlled trial.
Authors: Aragoncillo I, Abad S, Caldés S, Amézquita Y, Vega A, Cirugeda A, Moratilla C, Ibeas J, Roca-Tey R, Fernández C, Macías N, Quiroga B, Blanco A, Villaverde M, Ruiz C, Martín B, Ruiz AM, Ampuero J, de Alvaro F, López-Gómez JM Abstract PURPOSE: Stenosis is the main cause of arteriovenous fistula (AVF) failure. It is still unclear whether surveillance based on vascular access blood flow (QA) enhances AVF function and longevity. METHODS: We conducted a three-year follow-up randomized, controlled, multicenter, open-label trial to compare QA-based surveillance ...
Source: The Journal of Vascular Access - April 22, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Patient with a retained fibrin sheath: echocardiography and chest computed tomography findings.
Authors: Hajsadeghi S, Pazoki M, Azizahari A, Iranpour A, Dashti F PMID: 28430316 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 22, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Treatment of central venous in-stent restenosis with repeat stent deployment in hemodialysis patients.
CONCLUSIONS: Stent deployment for central vein in-stent stenosis refractory to angioplasty was associated with reasonable patency rates, which were similar to in-stent PTA and native vein PTS. PMID: 28430317 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 22, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Teaching medical students ultrasound-guided vascular access - which learning method is best?
Authors: Lian A, Rippey JCR, Carr PJ Abstract INTRODUCTION: Ultrasound is recommended to guide insertion of peripheral intravenous vascular cannulae (PIVC) where difficulty is experienced. Ultrasound machines are now common-place and junior doctors are often expected to be able to use them. The educational standards for this skill are highly varied, ranging from no education, to self-guided internet-based education, to formal, face-to-face traditional education. In an attempt to decide which educational technique our institution should introduce, a small pilot trial comparing educational techniques was designed. ...
Source: The Journal of Vascular Access - April 22, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Abstracts from the 10th Congress of the Vascular Access Society - Oral presentations.
Authors: Abstract Abstracts from the 10th Congress of the Vascular Access Society, 5-8 April 2017, Ljubljana, Slovenia - Oral presentations. PMID: 28379601 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 7, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Abstracts from the 10th Congress of the Vascular Access Society - Posters.
Authors: Abstract Abstracts from the 10th Congress of the Vascular Access Society, 5-8 April 2017, Ljubljana, Slovenia - Posters. PMID: 28379602 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 7, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Gadolinium contrast agents - are they really safe?
Authors: Malikova H, Holesta M Abstract Gadolinium-based contrast agents (GBCA) are used worldwide for enhanced MRI examinations, including heart and vessels. Gadolinium is a highly toxic heavy metal. If used in GBCA it must be tightly bound to ligands. The configuration of ligands influences the stability of the GBCA and two types of chelates have been used. Macrocyclic chelates offer better protection and binding of gadolinium ion than linear chelates with a flexible open chain - gadolinium could be easier released from the latter ones. GBCAs are excreted from the body mostly by the kidneys, which is of importanc...
Source: The Journal of Vascular Access - April 2, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Transformation of the peripheral intravenous catheter placement experience in pediatrics.
This study undertook an evaluation of their effectiveness at decreasing the pain of the needle poke that takes place with IV insertion. METHODS: Participation was limited to patients between the ages of 3 and 16 who received an IV during a 3-week period at an academic pediatric hospital. Furthermore, patients requiring more than one attempt to place the IV were not included. Participants were recruited within 24 hours after having received their IV. The 10-point, Wong-Baker Faces Pain Rating Scale was the tool used to collect pain scores. Patients were recruited to the study by convenience sampling. RESULTS: Pain s...
Source: The Journal of Vascular Access - April 2, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Comparison of post-creation procedures and costs between surgical and an endovascular approach to arteriovenous fistula creation.
This study compared AVF post-creation procedures and their associated costs in patients with SAVF to patients with a new endovascularly created AVF (endoAVF). METHODS: A 5% random sample from Medicare Standard Analytical Files was abstracted to determine post-creation procedures and associated costs for SAVF created from 2011 to 2013. Medicare enrollment during the 6 months prior to and after the AVF creation was required. Patients' follow-up inpatient, outpatient, and physician claims were used to identify post-creation procedures and to estimate average procedure costs. Comparative procedural information on endoAVF w...
Source: The Journal of Vascular Access - April 2, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Surgical technique determines the outcome of the Brescia/Cimino AVF.
Authors: Shenoy S Abstract Over the past 50 years, since Dr. Appel performed the first internal vascular access procedure for hemodialysis, the distal radiocephalic arteriovenous fistula continues to be the access of choice. Over time, failure to maturation has evolved as a major problem associated with this procedure depriving its benefits to many patients with end-stage renal disease. A variable incidence of this problem within similar patients suggests that surgical technique may play an important role in the development of non-maturation. Evaluating the current surgical techniques based on the hemodynamic conse...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Is shear stress the key factor for AVF maturation?
Authors: Remuzzi A, Bozzetto M, Brambilla P Abstract Autologous arteriovenous fistula (AVF) is the preferred choice for providing vascular access to hemodialysis (HD) patients, but it is still affected by high incidence of non-maturation or early failure. After creation, AVF must undergo vascular remodeling, a process characterized by an increase in blood vessel diameter and wall thickness, to allow efficient and adequate HD. A growing body of evidence indicates that AVF maturation is related to the response of endothelial cells (ECs) to changes in wall shear stress (WSS), and in particular, to changes of its peak ...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Patient-related factors influencing patency of autogenous brachiocephalic haemodialysis fistulas.
CONCLUSIONS: This study identified several non-modifiable and modifiable factors of interest to the clinician deciding on which type of haemodialysis fistula is most suitable for an individual patient. Meticulous preoperative work-up, a surveillance programme, and a dedicated multidisciplinary team can be of great importance in achieving better patency rates. PMID: 28297047 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Upper-arm hemodialysis access in Sweden.
CONCLUSIONS: Registry data support an increased use of upper-arm accesses, especially in women. The study also demonstrates the potential of a dedicated national access registry to improve access care. PMID: 28297048 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Improvement of radiocephalic fistula maturation: rationale and design of the Liposomal Prednisolone to Improve Hemodialysis Fistula Maturation (LIPMAT) study - a randomized controlled trial.
CONCLUSIONS: The LIPMAT study is the first to evaluate the efficacy of liposomal prednisolone to enhance RCAVF maturation. PMID: 28297049 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Preoperative computer simulation for planning of vascular access surgery in hemodialysis patients.
Authors: Zonnebeld N, Huberts W, van Loon MM, Delhaas T, Tordoir JH Abstract INTRODUCTION: The arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis patients. Unfortunately, 20-40% of all constructed AVFs fail to mature (FTM), and are therefore not usable for hemodialysis. AVF maturation importantly depends on postoperative blood volume flow. Predicting patient-specific immediate postoperative flow could therefore support surgical planning. A computational model predicting blood volume flow is available, but the effect of blood flow predictions on the clinical endpoint of maturation (at leas...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Endovascular treatment to boost AV fistula maturation.
Authors: Kamper L, Haage P Abstract Impaired fistula maturation is associated with puncture-related complications, insufficient dialysis and potential permanent access failure. Non-maturation is frequently initiated by stenotic vascular access vessels comprising the outflow veins, the arteriovenous anastomosis and infrequently the inflow artery. Further findings in maturation protraction are central venous stenoses or accessory outflow veins. Depending on the underlying pathology, several endovascular approaches to boost fistula maturation are possible. To date standard balloon angioplasty remains the primary prove...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Patient factors and haemodialysis arteriovenous fistula outcomes.
Authors: Masengu A, Hanko J Abstract Arteriovenous fistulas (AVF) improve survival and morbidity for most haemodialysis (HD) patients. Are they better for all patients? In the enthusiastic pursuit of AVFs for all, concerns have been raised regarding high primary AVF failure rates, continued high incident central venous catheter (CVC) use in some countries, and the limited life expectancy of some HD patients. "Fistula first" is changing to "catheter last". The focus must be on decreasing AVF failure to mature and decreasing incident CVC use. An optimal outcome should be sought for each individual...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

General, regional or local anesthesia for successful radial cephalic arteriovenous fistula.
Authors: Shemesh D, Raikhinstein Y, Goldin I, Olsha O Abstract Autogenous fistulas and in particular radiocephalic fistulas are recommended as the first vascular access for hemodialysis. Unfortunately, the rates of early failure and non-maturation are very high. For more than a decade, brachial plexus block has been proposed as the anesthesia of choice for fistula creation due to its beneficial sympathectomy-like effect, causing vasodilation and attenuation of spasm. Until recently, there was not a single randomized clinical study supporting this proposition. Because performing regional anesthesia is time-consuming...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Optimal timing for vascular access creation.
Authors: Jemcov TK, Van Biesen W Abstract Many guidelines recommend that end-stage renal disease (ESRD) patients should have a permanent vascular access, preferably an autologous arteriovenous fistula (AVF), at the start of renal replacement therapy. Nevertheless, a large proportion of patients still start hemodialysis with a central venous catheter (CVC). On the other hand, there are increasing numbers of patients in whom an AVF has been created, but who never actually end up on dialysis, as well as a substantial number of patients in whom creation of a vascular access has been attempted unsuccessfully.To improve ...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Any use for alternative lock solutions in the prevention of catheter-related blood stream infections?
Authors: Labriola L, Pochet JM Abstract The prevention of catheter-related blood stream infections (CRBSI) in hemodialysis (HD) patients remains a challenge because of high morbidity and mortality associated to CRBSI. Alternative locking solutions (ALS) containing an antithrombotic substance with additional antimicrobial or antibiofilm properties (citrate, ethylenediaminetetraacetic acid [EDTA], 70% ethanol, thrombolytics) with or without the addition of molecules with specific antimicrobial activity (antibiotics, taurolidine, paraben-methylene-blue) has been proposed with the aim to prevent or eradicate intralumin...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Factors related to patient selection and initiation of peritoneal dialysis.
Authors: Wasse H Abstract The majority of dialysis patients initiate dialysis using hemodialysis, rather than peritoneal dialysis (PD), although they may be candidates for either modality.Multiple factors account for this selection, including pre-dialysis education, physician familiarity with hemodialysis versus PD, and patient-related factors. This paper will discuss the various considerations by both providers and patients in the selection of PD as a modality. PMID: 28297056 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Dialysis access: issues related to conversion from peritoneal dialysis to hemodialysis and vice versa.
Authors: Gallieni M, Giordano A, Ricchiuto A, Gobatti D, Cariati M Abstract ABSTRACTHemodialysis (HD) and peritoneal dialysis (PD) represent two complementary modalities of renal replacement therapy (RRT) for end-stage renal disease patients. Conversion between the two modalities is frequent and more likely to happen from PD to HD. Every year, 10% of PD patients convert to HD, suggesting the need for recommendations on how to proceed with the creation of a vascular access in these patients. Criteria for selecting patients who would likely fail PD, and therefore take advantage of a backup access, are undefined. Crea...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Stent grafts for treatment of cannulation zone stenosis and arteriovenous graft venous anastomosis.
Authors: Shemesh D, Goldin I, Olsha O Abstract Stent grafts (SGs) are widely used for treatment of failing vascular accesses, fistulas and grafts. The mechanical barrier of the covered stent prevents in-stent stenosis and can be used to effectively correct ruptured vein and aneurysms. Treatment of cannulation zone stenosis with SG can be justified when its use is obligatory, in order to prevent total access loss. Although there are worrying complications attendant on SG insertion and cannulation, including jeopardizing future access creation, most studies report no complications of SG in cannulation zone stenosis. ...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Preoperative ultrasound still valuable for radio-cephalic arteriovenous fistula creation?
Authors: Pajek J, Malovrh M Abstract Radio-cephalic arteriovenous fistula is a prototype hemodialysis access with small incidences of infection and distal ischemia, it spares proximal veins for future access use and it helps in the maturation of veins that may be used for more proximal access creations. This access type is prone to higher early failure rates compared to more proximal fistulas and there are unsolved uncertainties regarding exact ultrasound parameters predictive of fistula outcome. Evolution of ultrasound use has yielded several functional parameters that can be measured in addition to anatomical lum...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Drug eluting grafts for hemodialysis access.
Authors: Glickman M Abstract The development of new methods for drug elution of graft material, biofiber films and resurfacing of prosthetic graft surfaces offers new opportunities for improvement of graft function in arteriovenous (AV) access. Three areas of research include developing grafts that reduce the development of neointimal hyperplasia, reducing infection and reducing thrombogenicity. The only drug eluting graft presently being used, is the heparin coated expanded polytetrafluoroethylene (ePTFE) graft, which has been shown to decrease the incidence of early thrombosis. New drug eluting grafts include tho...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Bioengineered hemodialysis access grafts.
Authors: Gage SM, Lawson JH Abstract There is a need for bioengineered therapies to improve the overall health of the growing and aging world population. Patients with renal failure have a life-long requirement for a durable form of hemodialysis vascular access. In this article, we review the history of tissue engineering as it pertains to bioengineered grafts and vessels for hemodialysis access. Over the years, various strategies have been utilized to develop ideal, humanized vessels for vascular replacement such as fixation of animal or human vessels, cell seeding of synthetic materials, and the synthesis of comp...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Description and early outcomes of the hybrid graft for dialysis.
CONCLUSIONS: The GHVG has been shown to have comparable performance to standard arteriovenous graft techniques and can expand access options for some patients with challenging anatomy. PMID: 28297062 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Dialysis-associated steal syndrome (DASS).
CONCLUSIONS: Multiple treatment options exist for steal. We present diagnostic evaluation and management algorithm. PMID: 28297063 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Endovascular treatment of swing-segment stenosis in vascular access: current status and future directions.
Authors: de Graaf R Abstract Swing-segment lesions are a fairly common reason for access failure and predispose to repeated interventions. The pathophysiology, hemodynamic circumstances and the primary intervention might all play a role in early recurrence. Mainly, percutaneous transluminal angioplasty (PTA), bare metal stenting and stent graft implantation have been performed to prolong lesion patency and access circuit patency. The available data on endovascular treatment of swing-segment lesions are scarce, heterogeneous and of poor quality. Moreover, with the continuous evolution of endovascular techniques and ...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Forearm versus upper arm grafts for vascular access.
Authors: Gage SM, Lawson JH Abstract Forearm and upper arm arteriovenous grafts perform similarly in terms of patency and complications. Primary patency at 1 year for forearm arteriovenous grafts versus upper arm grafts ranges from 22%-50% versus 22%-42%, and secondary patency at 1 year ranges from 78%-89% versus 52%-67%), respectively. Secondary patency at 2 years, ranges from 30%-64% versus 35%-60% for forearm and upper arteriovenous graft, respectively. Ample pre-operative planning is essential to improved clinical success and the decision to place a graft at one location versus the other should be based solely ...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Cerebral hyperperfusion and other consequences of hemodialysis central vein catheters.
Authors: Wasse H Abstract While central venous stenosis is a common consequence of protracted central venous catheter use, intracardiac device transvenous leads, and central venous instrumentation, the majority of patients who develop symptomatic central venous stenosis present with characteristic venous hypertension. However, some patients may develop an abnormal intracranial venous circulation and present with neurologic symptoms. This paper will summarize findings from case reports that describe the neurologic sequelae that can develop as a result of central venous stenosis/occlusion in end-stage renal disease p...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Optiflow anastomotic device for hemodialysis vascular access creation.
This article is a summary of early data that demonstrate the impact the Optiflow device on brachial cephalic fistulas. PMID: 28297067 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Drug eluting balloons for resistant arteriovenous dialysis access stenosis.
Authors: Karnabatidis D, Kitrou P Abstract Vascular access maintenance is vital for hemodialysis patients. Conventional balloon angioplasty is the gold standard of treatment in endovascular therapy according to published guidelines, accompanied by bare metal stents as a bail-out method. Several devices have been used so far with a view to improve patency outcomes, but only covered stents have been proposed as a valid alternative and only for venous juxta-anastomotic stenosis of arteriovenous grafts. Paclitaxel-coated balloons (PCBs) have been extensively investigated in the last few years in pilot studies with smal...
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Is early cannulation of an arteriovenous fistula associated with early failure of the fistula?
CONCLUSIONS: Early cannulation was not associated with early failure. Failure to achieve six successful cannulations from the start was an independent predictor of early failure. The trend in yearly variation of early failure rates suggests that evolving practices influenced early failure rates. PMID: 28297069 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Elbow AVF configurations and indications.
CONCLUSIONS: In the elbow, beginning to construct an AVF with the perforating vein is the most advantageous. If the perforating vein is not available or has been used before, median cubital vein, its branches, median antecubital vein or other available nearby veins may be used depending on the anatomy. Perforating vein should be ligated if any other elbow vein is used to prevent flow to deep veins. PMID: 28297070 [PubMed - in process] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Evaluating safety, efficacy, and cost-effectiveness of PICC securement by subcutaneously anchored stabilization device.
CONCLUSIONS: Our study suggests that SAS is a highly effective and cost-effective method for securement of medium- to long-term PICCs with expected duration longer than 30 days. The introduction of SAS had a positive impact on our healthcare organization. PMID: 28218360 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 23, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Arteriovenous fistula maturation in patients with permanent access created prior to or after hemodialysis initiation.
CONCLUSIONS: Our results show that clearance of uremia with regular HD treatments prior to AVF creation does not improve the frequency of vascular access maturation. PMID: 28218361 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 23, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Mechanical recanalization for clot occlusion of venous access ports: experimental study using ports with clot occlusion.
CONCLUSIONS: Our data indicate that it is feasible to generate a TIVAP clot occlusion model with swine blood. Moreover, mechanical recanalization was suitable for resolving occluded catheters without thrombolytic agents. PMID: 28218362 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 23, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Sex, race, and hemodialysis vascular access processes.
CONCLUSIONS: Divergences in vascular access by race and sex were partly related to differential process exposures. Black and female patients had more AVG and less AVF surgery, and more PICC and imaging. Success rates were lower for AVF surgery and higher for AVG surgery. Further work is needed to determine whether choices of process exposures arise from differential ability to detect veins on physical examination. PMID: 28218363 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 23, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Stenoses in the surgically manipulated segment have better angioplasty response compared to the surgically naive segment in fistulas.
CONCLUSIONS: The distribution of stenotic lesions differs among each type of fistula. The primary patency of balloon angioplasty of stenotic lesions located in the surgically manipulated venous segment was significantly better than lesions located in the rest of the fistula circuit. PMID: 28218364 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 23, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

A comparison of efficacy of endovascular versus surgical repair for the treatment of arteriovenous fistula stenosis in Taiwan.
CONCLUSIONS: In this study, PTA was found to be just a temporary solution for fistula thrombosis, whereas fistula reconstruction surgery is inexpensive and improves survival time. Therefore, dialysis units should establish an appropriate standard of care to avoid over-reliance on PTA in order to reduce the fistula failure rate, improve the dialysis efficacy, and reduce the psychological stress in patients, as well as to reduce the maintenance costs and rationalize the medical expenses. PMID: 28218365 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 23, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Peripherally inserted central catheter-related complications in cancer patients: a prospective study of over 50,000 catheter days.
CONCLUSIONS: Cancer patients with BMI greater than 25 were more likely to have PICC complications. PMID: 28218366 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 23, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Negative-pressure wound therapy and early pedicle flap reconstruction of the chest wall after epirubicin extravasation.
CONCLUSIONS: To the best of the authors' knowledge, this is the first report of a strategy comprising the combination of negative-pressure wound therapy and a latissimus pedicle flap for reconstruction of the chest wall after soft tissue necrosis following epirubicin extravasation. PMID: 28165571 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Early cannulation graft Flixene ™ for conventional and complex hemodialysis access creation.
CONCLUSIONS: Early cannulation (EC) grafts are viable alternatives for conventional and complex access creation that allowed early cannulation (<72 hours) in 17 (70%) of our cases. Primary and secondary patency rates at 12 months were equivalent to data reported on ePTFE grafts. PMID: 28165572 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

An unusual complication following surgical banding procedure for steal syndrome: band migration and sudden arteriovenous fistula aneurysm formation.
Authors: Hastaoglu IO, Tokoz H, Ozgen A, Bilgen F PMID: 28165573 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Acute upper extremity ischemia 7 years after arteriovenous fistula ligation.
Authors: Jasinski PT, Monastiriotis S, Kokkosis AA PMID: 28165574 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Blurring of vision in subclavian steal syndrome associated with an upper arm arteriovenous fistula.
Authors: Hayat UK, Khawaja AZ, Jones RG, Inston NG PMID: 28165575 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Removal of tunneled-cuffed catheters in children: is it safe to leave the cuff?
Authors: Crocoli A, Narciso A, Pardi V, Accinni A, Madafferi S, Bertocchini A, Inserra A PMID: 28165576 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Surgical reconstruction of central venous obstruction in salvaging upper extremity dialysis accesses.
CONCLUSIONS: Open venous bypass is a reliable alternative to endovascular intervention in the symptomatic patient with extensive central vein occlusion as a primary intervention or in whom prior endovascular therapy has failed. PMID: 28165577 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - February 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research