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By M. Pernido
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Extra info for Technical Problems in Patients on Hemodialysis
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508-515, PMID 15286321 Rodriguez JA, Armandans L, Ferrer E, Olmos A, Cordina S, Bartolome J, Borrelas J, Piers L. (2000) The function of permanent access. 3, (March, 2000), pp. (2008). Hemodialysisvacular access dysfunction: a cellular and molecular viewpoint. J Am Soc Nephrol, Vol. 4, (April, 2008). pp. 1112-1127 ISSN 1046-6673/1704-1112 PMID 16565259 Ruebens F, Wellington JL. (1993) Brachiocephalic fistula: a useful alternative for vascular access in chronic hemodialysis. 2, (April, 1993), pp.
2008). The natural history of autologous fistulas as first-time dialysis access in the K-DOQI era. (1966). Chronic hemodialysis using venipucture and a surgically creat arteriovenous fistula. N Engl J Med, Vol. 275, No. 1089-1092, PMID 5923023 Cho YI, Mooney MP& Cho DJ. (2008). Hemorheological Disorders in Diabetes Mellitus. 6, (November, 2008), pp. 1130-1138 PMID 19885302 Dagher F, Gelber R, Ramos E& Sadler J. (1976) The use of basilic vein and brachial artery as an A-V fistula for long term hemodialysis.
This technique is useful to prevent aneurysms and prolong the life of the fistula. Complications may arise if the same site is cannulated which may be the case if sites are limited and one site becomes easier to cannulate. 2 Buttonhole technique The buttonhole technique was introduced in Poland over 25 years ago when dialysis supplies including AVF needles were limited (Twardowski, 1979). AVF needles were reused for multiple cannulations and become dull with repeated use. The “dull” needle would enter smoothly if the exact same cannulation site and angle was used.