Interventions to manage occluded central venous access devices: An umbrella review
J Vasc Access. 2024 Apr 24:11297298241246092. doi: 10.1177/11297298241246092. Online ahead of print.ABSTRACTThe main objective of this umbrella review is to synthesise available evidence from systematic reviews on the effectiveness of interventions for the management of occlusions in central venous access devices. CVADS have been extensively utilised among the critically ill since the 1950s however have also been linked to an increase in catheter complications. CVAD occlusion can occur in 14%-36% of patients within 1-2 years of catheter placement and is a longstanding complication. Umbrella methodology was applied to revie...
Source: The Journal of Vascular Access - April 24, 2024 Category: Surgery Authors: Jessica Elliott Linda Ng Carolyn Meredith Gordon Mander Murray Thompson Lorraine Reynolds Source Type: research
A systematic review of prediction models on arteriovenous fistula: Risk scores and machine learning approaches
CONCLUSION: The performance of existing predictive models for AVF maturation/patency is underreported. They showed satisfactory performance in their own study population. However, there was high risk of bias in methodology used to build some of the models. The reviewed models also lack external validation or had reduced performance in external cohort.PMID:38658814 | DOI:10.1177/11297298241237830 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 24, 2024 Category: Surgery Authors: Lingyan Meng Pei Ho Source Type: research
Tongue patch angioplasty for small-caliber vein segments directly connected to juxta-anastomotic stenosis
This study introduces a surgical method to increase the size of small vessels in patients with juxta-anastomosis stenosis (JAS) requiring full-length dissection. The small-caliber segment that is adjacent to JAS is usually expanded using balloon angioplasty or surgically resected. After resection, if the cannulation site is sufficient, only the arterial anastomosis is moved proximally; otherwise, it is replaced with a prosthetic graft. Herein, we describe the cases of two 60- and 34-year-old men with left brachio-basilar and left radiocephalic fistulas, respectively. The first and second patients needed transposition and s...
Source: The Journal of Vascular Access - April 24, 2024 Category: Surgery Authors: Miju Bae Jongwon Kim Source Type: research
Ruminant model for hemodialysis cannulation
CONCLUSIONS: The stability of AVF patency and flow underscores the viability and potential of the Caprine species animal model as a valuable research platform for exploring interventions aimed at improving vascular access survival in hemodialysis patients.PMID:38659087 | DOI:10.1177/11297298241247085 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 24, 2024 Category: Surgery Authors: April Lovelady Alan Glowczwski Justin Glowczwski Ahad Azimuddin John Ross Stephen Hohmann Jennifer Fridley Bradley T Simon Source Type: research
Perioperative arterial catheterization: A prospective evaluation of ultrasound, infection, and patient-focused outcomes
CONCLUSIONS: Thrombosis was the most common abnormality and was usually asymptomatic. There were no infections, few post-operative symptoms, and minimal functional impairment following arterial catheterization.PMID:38659089 | DOI:10.1177/11297298241246300 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 24, 2024 Category: Surgery Authors: Victoria Eley Nathan Peters Christine Woods Stacey Llewellyn Teal Derboghossian Murray Ogg Claire M Rickard Adrian Chin Source Type: research
Axillary necklace graft salvage of a locally infected Haemodialysis with Reliable Outflow (HeRO ®) graft
CONCLUSIONS: The originality of this case was the way in which an axillary necklace inflow graft was connected to the pre-existing venous outflow portion of the HeRO® haemodialysis graft system, allowing the excision of the infected inflow graft at the brachial anastomosis. This technique could be viewed as an effective salvage procedure as it allowed the venous outflow portion of the original graft to remain in situ, minimised tissue damage and enabled the patient to swiftly resume haemodialysis without the need for a line.PMID:38653974 | DOI:10.1177/11297298241235866 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 23, 2024 Category: Surgery Authors: Adam Lloyd Philip C Bennett Philip W Stather Source Type: research
Efficacy of drug-coated balloon catheters for patients with short-term recurrent dysfunction of arteriovenous fistula
CONCLUSION: For AVFs that require frequent PTA over a short period of time, DCB improved the patency rate 3 months after PTA, but the improvement effect at 6 months was limited. The effect of DCB on prolonging the patency rate of AVFs that require frequent PTA over a short period of time may be correlated with the RI value before and after PTA.PMID:38641588 | DOI:10.1177/11297298241245853 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 19, 2024 Category: Surgery Authors: Sadanori Shintaku Hideki Kawanishi Masataka Banshodani Misaki Moriishi Naoko Takahashi Shinichiro Tsuchiya Source Type: research
The SIECC protocol: A novel insertion bundle to minimize the complications related to epicutaneo-cava catheters in neonates
J Vasc Access. 2024 Apr 19:11297298241239699. doi: 10.1177/11297298241239699. Online ahead of print.ABSTRACTEpicutaneo-cava catheters are the most widely used central venous catheters in the neonate, but their insertion and management are potentially associated with several complications, both during placement (failure to proceed with the catheter, primary malposition, etc.) and during maintenance (infection, venous thrombosis, catheter dislocation, secondary malposition, etc.). Recent studies have identified methods and techniques that may be effective in minimizing the risk of most of these complications. This paper prop...
Source: The Journal of Vascular Access - April 19, 2024 Category: Surgery Authors: Vito D'Andrea Mauro Pittiruti Giorgia Prontera Gianni Vento Giovanni Barone Source Type: research
Implementation of advanced vascular access, physiological monitoring and goal-directed resuscitation during OHCA in a helicopter emergency medical service
This article details the EAAA SPEAR technique; and the development, implementation and governance of this novel endovascular strategy in our UK physician-paramedic staffed helicopter emergency medical service.PMID:38610111 | DOI:10.1177/11297298241242157 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 13, 2024 Category: Surgery Authors: Shadman Aziz Kate Lachowycz Rob Major Paul Rees Jon Barratt Source Type: research
Minimizing delays to hemodialysis access maturation: A quality improvement analysis
CONCLUSION: Preoperative vein mapping contributed up to 21% of referral to maturation times but was not associated with increased tunneled catheter duration. While tunneled catheter placement impacted access maturation it did not cause additional pre-operative delays. Earlier referrals for access creation and reduction of outpatient wait-time from referral to OR and increased AV graft placement may minimize catheter days in our system thereby mitigating the added delays caused by pre-operative vein mapping.PMID:38602233 | DOI:10.1177/11297298241244509 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 11, 2024 Category: Surgery Authors: Andrew S Warren Hannah Wolf Charles J Hillenbrand Gale L Tang Source Type: research
