Advertisement
< Vol. 16 Suppl. 9 | Mar 2015 | Presentations of the European Vascular Access Course 2015

Update on cannulation techniques

Update on cannulation techniques

J Vasc Access 2015; 16(Suppl. 9): 54 - 60

Article Type: ORIGINAL ARTICLE

DOI:10.5301/jva.5000349

Authors

Zbylut J Twardowski

Abstract

There are two methods of fistula cannulation for hemodialysis. The first, different site or rope-ladder cannulation method, established by originators of the arteriovenous fistula as a blood access for hemodialysis in 1966, relies on changing the puncture sites for each dialysis. The second, constant site or buttonhole method, developed several years later, recommends using the same puncture sites for consecutive dialyses. The first method is prevailing at present, but the second method is becoming more and more popular. The major advantage of this buttonhole method is lower cannulation pain, fewer fistula complications, with the exception of fistula infection, which is more common in some studies. This method is more difficult and requires experienced single cannulator to establish good puncture sites. Home hemodialysis patients using single cannulator, the patient or helper, have better results with this method. Busy dialysis centers with high rotation of cannulators do not have as good results and prefer the rope-ladder method.

Article History

  • • Accepted on 10/12/2014
  • • Available online on 08/03/2015
  • • Published in print on 09/03/2015

Disclosures

Financial support: None.
Conflict of interest: None.

This article is available as full text PDF.

  • If you are a Subscriber, please log in now.

  • Article price: Eur 36,00
  • You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under "My PayPerView". You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal.
  • If you are not a Subscriber you may:
  • Subscribe to this journal
  • Unlimited access to all our archives, 24 hour a day, every day of the week.

Authors

  • Twardowski, Zbylut J [PubMed] [Google Scholar] , * Corresponding Author (twardowskiz@health.missouri.edu)

Affiliations

  • Division of Nephrology, Department of Medicine, University of Missouri, Columbia, MO - USA

Article usage statistics

The blue line displays unique views in the time frame indicated.
The yellow line displays unique downloads.
Views and downloads are counted only once per session.

No supplementary material is available for this article.