The preference for fistulae as the hemodialysis access of choice has led to a significant number of accesses that are less than ideal for cannulation. Buttonhole cannulation is ideal for such accesses, but the technique for creation provides major challenges. In 12 patients, buttonhole tunnel tracks were created by leaving the polyurethane catheter of a Clampcath hemodialysis needle indwelling ...

OBJECTIVE to assess the compliance of the practice of hand hygiene in maintaining the temporary double-lumen catheter for hemodialysis, through the use of process indicator at the University Hospital of the University of São Paulo. METHOD a quantitative, exploratory, descriptive, observational study. Sample consists of 155 observations of patients with catheter from March to November 2011, us...

BACKGROUND AND OBJECTIVES Hemodialysis catheters are frequently complicated by dysfunction from fibrin sheaths. Previous studies of sheath disruption have methodologic limitations but suggest that the patency after disruption is short. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS A randomized, controlled, pilot trial was conducted to investigate the impact of angioplasty sheath disruption on...

After creation of an arteriovenous fistula or placement of an arteriovenous graft, several weeks are required for maturation prior to first cannulation. Patients need an alternative way to receive hemodialysis during this time, frequently a catheter. After multiple failed access attempts, patients can run out of options and become catheter dependent. At our institution, we place HeRO grafts in ...

Hemodialysis catheters (HDC) are the commonly used vascular access for hemodialysis. Functioning is essential adequate dialysis. Dialysis catheter insertion under ultrasound guidance now standard practice and has reduced incidence of mechanical complications during insertion. However, such as tip misplacement puncture mediastinum cannot be prevented by ultrasound-guided procedures alone. We rep...

BACKGROUND AND OBJECTIVES Concentrated heparin solutions are instilled into the catheter lumens after each hemodialysis session to prevent catheter thrombosis. The heparin lock concentration at many centers has been decreased recently to reduce the risk of systemic bleeding and contain costs. However, the effect of this change on catheter patency is unknown. We compared catheter patency between...

provided the original work is properly cited. CC Prune-belly syndrome is a rare congenital disease (1 : 35,000– 1 : 50,000) with characteristic abdominal folds that have a driedplum appearance, and the most typical triad is abdominal muscle deficiency, urinary tract abnormality, and cryptorchidism [1-4]. Other than the triad, there could be accompanying cardiovascular, musculoskeletal, gastroin...

BACKGROUND Right internal jugular vein (IJV) is a preferred access route for tunneled (cuffed) dialysis catheters (TDCs), and both right external jugular vein (EJV) and left IJV are alternative routes for patients in case the right IJV isn't available for TDC placement. This retrospective study aimed to determine if a disparity exists between the two alternative routes in hemodialysis patients ...

BACKGROUND Catheter-related infections cause morbidity and mortality in patients undergoing hemodialysis. PURPOSE To examine whether topical or intraluminal antibiotics reduce catheter-related bloodstream infection compared with no antibiotic therapy in adults undergoing hemodialysis. DATA SOURCES Electronic databases, trial registries, bibliographies, and conference proceedings up to Octob...

BACKGROUND Malignant ascites is a pathological condition caused by intra- or extra-abdominal disseminated cancer. The object of treatment is palliation. In search of an effective and minimally invasive palliative treatment of malignant ascites placement of a permanent intra peritoneal catheter has been suggested. PURPOSE To evaluate our experiences with treatment of malignant ascites by impla...