Access-Related Infections Involving the Buttonhole Technique

Toma, Shigeki; Shinzato, Takahiro; Hayakawa, Kunihiro

doi:10.1159/000443781

Cited by 12 publications

(13 citation statements)

References 27 publications

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“…Shigeru Otsubo 1,2 Yumi Aoyama 1,3 Kayoko Kinoshita 1 Taijiro Goto 1 Yuriko Otsubo 1 Daisuke Kamano 4 Rena Sumura 4 Satoki Shinzawa 4 Tatsuki Abe 4 Ryunosuke Noda 4 Ryu Kobayashi 4 Mai Yanagi 4 Kosaku Nitta 3 Yoshitaka Ishibashi 4 1 Department of Nephrology, Sangenjaya Hospital, Tokyo, Rhizobium radiobacter peritonitis in a peritoneal dialysis patient: Case presentation and review of the literature Dear Editor, There has been an elevated risk of peritoneal dialysis (PD) catheter removal in Rhizobium radiobacter peritonitis. [1][2][3][4][5] PD catheter was removed in 10 out of 18 reported cases of R. radiobacter peritonitis (56%, Table 1). Here, we present a case with R. radiobacter peritonitis that was successfully treated with PD catheter preservation, and review the reported cases in the past literature (Table 1).…”

Section: Conflict Of Interestmentioning

confidence: 99%

Prolonged shedding of SARS‐CoV‐2 in COVID‐19 infected hemodialysis patients

Otsubo¹,

Aoyama

Kinoshita³

et al. 2020

Ther Apher Dial

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An outbreak of coronavirus disease 2019 , now known to be caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), that began in China in December 2019, has since spread rapidly throughout the world. 1 There are several reports of hemodialysis patients with COVID-19. [2][3][4] Hemodialysis patients appear to be a population at high risk for severe COVID-19, because factors identified as risk factors for severe COVID-19 are often present in these patients: old age, hypertension, cardiovascular comorbidity, and diabetes mellitus. In addition, these patients also show impaired antiviral immune responses, because of the impaired kidney function. On the other hand, hemodialysis patients may not be at a higher risk for more severe COVID-19 in other respects: They are also aware of their vulnerable condition, they know that they should seek medical advice immediately when they have fever or other complaints, and they have an immunosuppressed state which may attenuate the hyperinflammatory response observed in the stage of severe COVID-19. The usual clinical course of hemodialysis patients with COVID-19 is not yet clear. We examined 5 hemodialysis patients with COVID-19 at our hospital and report, herein, the prolonged persistence of a positive result of the PCR test for SARS-CoV2 in hemodialysis patients.

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Section: Conflict Of Interestmentioning

confidence: 99%

Prolonged shedding of SARS‐CoV‐2 in COVID‐19 infected hemodialysis patients

Otsubo¹,

Aoyama

Kinoshita³

et al. 2020

Ther Apher Dial

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“…• The bulging deforms the tunnel entry extending it and creating a better accessibility for bacteria colonization (26)(27)(28).…”

Section: Pathophysiology Of the Infection By Bhmentioning

confidence: 99%

“…). When the proliferation of the colonizing pathogen reaches a sufficient critical value to overcome host defenses, the clinical infection (systemic and/or local) can develop .…”

Section: Infection Risk and Bh Techniquementioning

confidence: 99%

“…The colonization of the tunnel appears to be greatly facilitated by the formation of an irregular protrusion or “bulging” at the tunnel entry by two mechanisms (Fig. ): The protrusion impedes the complete removal of the scab and in case of a staphylococcal colonization, the infected fragments are pushed into the BH track by the blunt needle. The bulging deforms the tunnel entry extending it and creating a better accessibility for bacteria colonization . …”

Section: Infection Risk and Bh Techniquementioning

confidence: 99%

“…In addition to the asepsis of the surface of skin, BH tunnel disinfection is needed. One recommendation is to use a gauze soaked in iodine solution placed at tunnel entry site and pushed into it for about 2–3 mm with a dull needle . After disinfection, a careful and complete removal of the scab is necessary to avoid contamination at the tunnel entry site.…”

Section: Strategies For the Improvement Of Bhmentioning

confidence: 99%

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Buttonhole Cannulation of the AV Fistula: A Critical Analysis of the Technique

Nicolò¹,

Cornacchiari²,

Mereghetti³

et al. 2016

Seminars in Dialysis

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As a consequence of the central role of the arteriovenous fistula for dialysis (AVF) in the clinical management of the dialysis patient the necessity to limit the puncture-related complications to extend as much as possible the life of the vascular access. Accordingly, the AVF needling technique has gained growing attention. Alongside the traditional rope ladder (RL) puncture method, the buttonhole technique (BH) is increasingly popular; this technique employs the same cannulation sites of AVF in every dialysis associated with the use of dull needles to minimize vessels damage. The BH technique, utilized only for native AVF, is considered an appropriate alternative to the RL and is now recommended by several scientific societies for its reported benefits such as: AVF greater ease of cannulation, less pain, faster hemostasis and less tendency to the creation of aneurysms and hematomas. The use of BH is especially recommended in cases in which the RL is problematic with short or winding venous sections and in home dialysis in which the patient performs the needling. However recent evidence in literature, countering these theoretical advantages, indicates that the BH technique appears to be closely related to an increased risk of local and systemic infections. Furthermore, the purported benefits of BH have not held up under closer examination.

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Direction- and Angle-Assisted Buttonhole Cannulation of Arteriovenous Fistula in Hemodialysis Patients: A Multicenter Randomized Controlled Trial

et al. 2022

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Access-Related Infections Involving the Buttonhole Technique

Cited by 12 publications

References 27 publications

Prolonged shedding of SARS‐CoV‐2 in COVID‐19 infected hemodialysis patients

Prolonged shedding of SARS‐CoV‐2 in COVID‐19 infected hemodialysis patients

Buttonhole Cannulation of the AV Fistula: A Critical Analysis of the Technique

Direction- and Angle-Assisted Buttonhole Cannulation of Arteriovenous Fistula in Hemodialysis Patients: A Multicenter Randomized Controlled Trial

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