2003
DOI: 10.1093/ndt/gfg321
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A timesaving method to create a fixed puncture route for the buttonhole technique

Abstract: This study showed the new timesaving method for creating a buttonhole to be safe and useful.

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Cited by 91 publications
(114 citation statements)
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“…Note that some, but not all, BH protocols include antibiotic prophylaxis. 20,21 The BH technique is not recommended for all patients and is contraindicated in patients with arteriovenous grafts (AVGs). In North America and Australasia, the BH technique is considered a relative contraindication for newly created AVFs because the fistula is undergoing dynamic changes that influence the BH tracts; however, this practice is not consistent globally.…”
Section: Vascular Access In Home Hemodialysismentioning
confidence: 99%
See 1 more Smart Citation
“…Note that some, but not all, BH protocols include antibiotic prophylaxis. 20,21 The BH technique is not recommended for all patients and is contraindicated in patients with arteriovenous grafts (AVGs). In North America and Australasia, the BH technique is considered a relative contraindication for newly created AVFs because the fistula is undergoing dynamic changes that influence the BH tracts; however, this practice is not consistent globally.…”
Section: Vascular Access In Home Hemodialysismentioning
confidence: 99%
“…[5][6][7][21][22][23][24][25][26] The incidence of localized infections is increased with BH and other infectious complications have been reported. These include septic arthritis, bacterial endocarditis, and bacteremia; however, these conditions may not appear until long after the BH technique is initiated.…”
Section: Increased Risk Of Infection With Bh Cannulationmentioning
confidence: 99%
“…8,11,14,18,[20][21][22][23][24][25][26][27] In addition, partial and even complete elimination of pain was observed in some patients with longer AVF use. Some patients were so satisfied with the technique that they even asked not to go back to the RL technique.…”
Section: Discussionmentioning
confidence: 99%
“…Patients or their caretakers are often required to cannulate the AV access themselves. Recent data show that the buttonhole technique that involves inserting the dialysis needle through the same needle tracts of an AV fistula facilitates cannulation and results in a lower degree of wear and tear to the access (17,18). However, the question of whether a heightened incidence of fistula infections may occur as a result of the frequent use of this technique for daily long dialysis has been raised (unpublished data).…”
Section: Futurementioning
confidence: 99%