BACKGROUND AND OBJECTIVES The relative merits of buttonhole (or blunt needle) versus rope ladder (or sharp needle) cannulation for hemodialysis vascular access are unclear. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS Clinical outcomes by cannulation method were reviewed in 90 consecutive home hemodialysis patients. Initially, patients were trained in rope ladder cannulation. From 2004 on, a...

Coronary artery bypass grafting (CABG) is advantageous for long-term clinical outcomes compared to percutaneous coronary intervention (PCI) in hemodialysis (HD) patients, as PCI has a lower short-term mortality but higher late revascularization risk. Therefore, CABG very important HD patients current practice. In the presence of an arteriovenous fistula may flow capacity ipsilateral internal th...

background: we aimed to analyze the effect of nursing strategies on patients with chronic renal failure (crf) undergoing maintenance hemodialysis (mhd) treatment by puncturing on arteriovenous fistula (avf). methods: ninety-two patients with chronic renal failure undergoing maintenance hemodialysis (mhd) between jan 2014 and jan 2015 were included in the study (all undergoing avf, dialysis for ...

Arteriovenous fistulas have a substantial impact on systemic hemodynamics, however their effect extracorporeal circulation is not well understood. We report our clinical observation the management under of patient with renal insufficiency high-flow arteriovenous fistula. This 59-year-old man who was referred to us for surgical treatment ischemic coronary artery disease in context anuric chronic...

In repairing coronary arteriovenous fistula (CAVF), it is very important to interrupt the fistulous tract without compromise of normal coronary vessel flow. In our case, selective coronary arteriography showed that the CAVF from the left anterior descending coronary artery (LAD) was very close to the native coronary artery and had a very broad and short neck. We describe a simple and useful app...