A Polyurethane Vascular Access Graft and a Hybrid Polytetrafluoroethylene Graft as an Arteriovenous Fistula for Hemodialysis: Comparison with an Expanded Polytetrafluoroethylene Graft

The cannulation of an arteriovenous fistula (AVF) by the hemodialysis (HD) nurse is challenging. Despite it being the focus of extensive research, it is still one of the majors causes of damage making it prone to failure. A considerable number of Clinical Practice Guidelines (CPGs) for the management of vascular access (VA) have been published worldwide over the past two decades. This review aimed to assess all information available in the selected CPG regarding AVF cannulation for HD providing a comprehensive analysis in order to interpret possible future cannulation approaches. A total of seven CPGs were described in a coding table separated in seven subthemes: Initiation of cannulation, preparation, technique, needle selection, surveillance, pain, and education. Our analysis outlines current CPGs for HD VA cannulation with lack of good evidence support for the majority of the recommendations, showing that, there is an urgent need for international collaboration and coordination to ensure relevant and high-quality evidence. Future CPGs must consider recommendations with better grading of evidence aiming patient-centered care and nurse decision models that can potentially represent better AVF cannulation outcomes.

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Arteriovenous fistula for haemodialysis: The role of surgical experience and vascular access education

Nefrología ◽

10.1016/j.nefro.2015.07.003 ◽

2016 ◽

Vol 36 (2) ◽

pp. 89-94 ◽

Cited By ~ 8

Author(s):

Branko Fila ◽

Jose Ibeas ◽

Ramon Roca Tey ◽

Vesna Lovčić ◽

Lada Zibar

Keyword(s):

Arteriovenous Fistula ◽

Vascular Access ◽

Surgical Experience

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Successful Management of Acute Liver Failure Patients Waiting for Liver Transplantation by On-Line Hemodiafiltration with an Arteriovenous Fistula

Case Reports in Gastroenterology ◽

10.1159/000445186 ◽

2016 ◽

Vol 10 (1) ◽

pp. 144-150 ◽

Cited By ~ 3

Author(s):

Yuki Haga ◽

Shin Yasui ◽

Tatsuo Kanda ◽

Noriyuki Hattori ◽

Toru Wakamatsu ◽

...

Keyword(s):

Liver Transplantation ◽

Prognostic Factors ◽

Infectious Diseases ◽

Liver Failure ◽

Acute Liver Failure ◽

Arteriovenous Fistula ◽

Vascular Access ◽

Treatment Options ◽

Successful Management ◽

On Line

On-line hemodiafiltration (OLHDF) is one of the treatment options in the management of acute liver failure (ALF) in Japan. It is essential to avoid infection in the management of ALF. In fact, infection is one of the prognostic factors in ALF. In this report, we present a middle-aged Japanese man with ALF associated with benzbromarone use. He was successfully managed without infection until liver transplantation by creating an arteriovenous fistula for OLHDF. Utilizing an arteriovenous fistula for OLHDF, rather than inserting a vascular access catheter, is a beneficial option to avoid infectious diseases in the management of ALF.

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