Variables associated with successful vascular access cannulation in hemodialysis patients: a prospective cohort study

Coventry, Linda L.; Hosking, Jon M.; Chan, Doris; Coral, Evelyn; Lim, Wai H.; Towell-Barnard, Amanda; Twigg, Di; Rickard, Claire M

doi:10.1186/s12882-019-1373-3

Cited by 21 publications

(27 citation statements)

References 19 publications

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“…Following a review of literature (Ball, 2017;Castro et al, 2020;Coventry et al, 2019;Harwood et al, 2017;Polkinghorne et al, 2013;Reyes, 2016;Schmidli et al, 2018),…”

Section: Instrumentsmentioning

confidence: 99%

Relationship between arteriovenous fistula cannulation practices and dialysis adequacy: A prospective, multicenter study

Özen

Sayılan²,

Sayılan³

et al. 2021

Journal of Renal Care

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Background: Successful arteriovenous fistula cannulation ensures maximum patient benefit in the haemodialysis procedure.Objective: The aim of this study was to determine the effect of various cannulation methods used for arteriovenous fistulas on dialysis adequacy.Design: It is a descriptive, cross-sectional and multicenter study.Participants: A total of 164 dialysis patients from four dialysis centers were included.Measurements: Data were collected by determining patients' characteristics and the arteriovenous fistula cannulation method used, in addition to recording the Kt/V and urea reduction ratio values to evaluate dialysis adequacy. The mean Kt/V and urea reduction ratio values over 3 months after dialysis initiation were used. This trial is registered with ClinicalTrials.gov, NCT04270292.Results: Cannulation with the puncture method was used in 53% of the patients; the fistula needles were inserted in the antegrade direction in 43.9% of the patients; the arterial needle was rotated after fistula needle placement in 63.4% of the patients; and the arterial and venous needles were on the same vascular line in 15.2% of the patients. Placement of the fistula needle in the antegrade direction increased the Kt/V value 0.164 times (95% confidence interval: 0.002-0.212, p = .047). Conclusion:Antegrade placement could be a factor influencing dialysis adequacy.We suggest antegrade interventions to the fistula to maximize the patient benefit from the haemodialysis treatment.

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“…Following a review of literature (Ball, 2017;Castro et al, 2020;Coventry et al, 2019;Harwood et al, 2017;Polkinghorne et al, 2013;Reyes, 2016;Schmidli et al, 2018),…”

Section: Instrumentsmentioning

confidence: 99%

Relationship between arteriovenous fistula cannulation practices and dialysis adequacy: A prospective, multicenter study

Özen

Sayılan²,

Sayılan³

et al. 2021

Journal of Renal Care

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“…3 South Tyneside and Sunderland NHS Foundation Trust (STSFT) Renal unit adopted ultrasound mapping of new cannulation sites for arteriovenous fistulas and arteriovenous grafts. 4 The aim of this study was to evaluate the qualitative impact of this practice on the dialysis patients.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound mapping of new cannulation sites for arteriovenous fistulas/grafts at South Tyneside and Sunderland NHS Foundation Trust (STSFT) Renal Unit.

Ayub

Clark

Srivastava³

et al. 2021

Pak J Kidney Dis

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The cannulation of vascular access specially becomes difficult in elderly, diabetic and obese hemodialysis patients. The accessibility of an AV fistula largely relies on the condition of the patient’s veins, which often leads to difficulty in cannulation with the traditional blind method. South Tyneside and Sunderland NHS Foundation Trust (STSFT) Renal unit adopted ultrasound mapping of new cannulation sites for arteriovenous fistulas and arteriovenous grafts. The aim of this study was to evaluate the qualitative impact of this practice on the dialysis patients. This was a qualitative study and was conducted in the Renal Unit at STSFT. Haemodialysis patients with deep or small vessels for cannulation, a vessel with problems and a vessel whose cannulation on the first attempt was vital were included in the study. AVF/AVG were mapped using Doppler ultrasound (US) undertaken by a consultant Interventional Nephrologist (IN). The map of the AVF/AVG and new cannulation sites were captured as an image on the patients’ smart phone to act as record to show the dialysis nurse cannulating the AVF/AVG. It was hoped that this would encourage rope laddering and AVF/AVG preservation. Patients reported no significant improvement in cannulation process even after US mapping of new cannulation sites. Patients did report a better understanding of the AVF/AVG geometry especially amongst the self cannulators on home haemodialysis. According to the patients the successful cannulation was mainly dependent on the skills of dialysis nurses rather than the US mapping of the AVF/AVG being of any assistance.

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“…Cannulation-related complications such as infection, infiltration, hematoma, and aneurysm formation are underestimated and have serious consequence requiring access revision, catheter placement, or even access abandonment. 6 Accordingly, the prevention of cannulation-related complications is one of the highest priorities in HD therapy. Recently, there is growing interest in alternatives to traditional metal needles to reduce cannulation-related complications and improve vascular access outcomes.…”

Section: Introductionmentioning

confidence: 99%

Comparison of dynamic arterial and venous pressure between metal needles and plastic cannulas in incident hemodialysis patients with arteriovenous graft

et al. 2020

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Background and objects: We hypothesized that plastic cannulae with 17-gauge inner needle compared to 16-gauge metal needles can have stable dynamic venous and arterial pressure maintaining prescribed blood flow safely during a hemodialysis treatment. Design, setting, participants, and measurements: A single-center, prospective, randomized, open-label clinical trial was conducted involving 16 incident hemodialysis patients who had arteriovenous graft placed as their first arteriovenous access. Subjects were randomized to metal needle group (n = 8) versus plastic cannula group (n = 8). We measured serial dynamic pre-pump arterial and venous pressure under five different blood pump flow rates (150, 200, 250, 300, and 350 mL/min). Results: The mean age of patients was 67.6 ± 8.5 (range: 51–81) years, and six patients (37.5%) were male. Patients with plastic cannula showed less negative arterial pre-pump pressures and lower venous pressures than those with metal needles at all prescribed blood flow rates, and the difference was statistically significant (P < 0.001). Conclusion: The plastic cannula had more stable arterial and venous pressures at prescribed blood pump flow rates than those pressures of the metal needle in incident patients with arteriovenous graft during hemodialysis.

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Variables associated with successful vascular access cannulation in hemodialysis patients: a prospective cohort study

Cited by 21 publications

References 19 publications

Relationship between arteriovenous fistula cannulation practices and dialysis adequacy: A prospective, multicenter study

Relationship between arteriovenous fistula cannulation practices and dialysis adequacy: A prospective, multicenter study

Ultrasound mapping of new cannulation sites for arteriovenous fistulas/grafts at South Tyneside and Sunderland NHS Foundation Trust (STSFT) Renal Unit.

Comparison of dynamic arterial and venous pressure between metal needles and plastic cannulas in incident hemodialysis patients with arteriovenous graft

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