Access-Related Infections Involving the Buttonhole Technique

Access-Related Infections Involving the Buttonhole Technique.

PURPOSE In this study, we discuss a mechanism of development of access-related Staphylococcus aureus infections in patients on buttonhole (BH) method and logically construct a measure to prevent such infections on the basis of the mechanism. SUMMARY S. aureus can colonize a BH track. Once S. aureus colonizes a BH track, access-related infections may develop when the equilibrium is upset betwe...

The buttonhole technique: strategies to reduce infections.

The buttonhole technique has gained popularity over the last decade in the United States. The fact that it is a relatively new technique, which requires a change to current cannulation practice, has contributed to several unforeseen complications that have led to increased infection rates in AV fistulae. To keep this technique a viable option for patients, it will be necessary to understand the...

The buttonhole technique for arteriovenous fistula cannulation.

The buttonhole technique began 30 years ago in Europe and Japan, and 25 years ago in Seattle, Washington. Some believe its failure to "catch on" in the United States is due to the graft culture of the last 20 years. Now with an increase of AV fustulae, this technique is becoming known as a viable cannulation option. The purpose of this article is to provide technical information for nephrology ...

Buttonhole: an old technique rediscovered.

Cannulating in haemodialysis: rope-ladder or buttonhole technique?

BACKGROUND The standard technique for fistula cannulation, the rope-ladder technique, is problematic for patients with short fistula lengths and for patients in whom the fistula is difficult to cannulate. The buttonhole technique, cannulation of exactly the same site, offers the advantage of an easy cannulation procedure. However, it can be used only in native fistulas and cannulation is prefer...