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Related Experiment Videos

A timesaving method to create a fixed puncture route for the buttonhole technique.

Shigeki Toma1, Takahiro Shinzato, Hiroyoshi Fukui

  • 1Toma Clinic, 972 Aza-Kochi, Nishihara-cho, Nakagami-gun, Okinawa Prefecture, Japan. stoma@air.linkclub.or.jp

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
|September 19, 2003
PubMed
Summary

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A new, timesaving buttonhole cannulation method using a polycarbonate peg safely establishes a fixed puncture route for hemodialysis (HD) in 14 days. This technique reduces pain and bleeding, proving safe and effective for vascular access.

Area of Science:

  • Nephrology
  • Vascular Access
  • Hemodialysis Techniques

Background:

  • Establishing a fixed puncture route for buttonhole cannulation traditionally requires 2-3 months of consistent puncture by experienced staff using sharp needles.
  • This prolonged period can be resource-intensive and may lead to variability in technique.

Purpose of the Study:

  • To introduce and evaluate a novel, timesaving method for creating a fixed puncture route for the buttonhole technique in hemodialysis vascular access.
  • To assess the safety, efficacy, and patient experience associated with this new method.

Main Methods:

  • A thumbtack-shaped polycarbonate peg is inserted along the needle's path after dialysis, creating a track.
  • A dull needle is then inserted along this track in subsequent sessions, with the process repeated for 14 days to establish the route.

Related Experiment Videos

  • This method aims to expedite the creation of a stable buttonhole for vascular access.

    • Main Results:

    • The method was tested in 37 patients over 3 months, with no significant restrictions in daily activities.
    • Patient-reported pain was comparable to conventional methods, and significant bleeding was not observed.
    • Excellent hemostasis was achieved, with 95% of patients achieving bleeding cessation in under 10 minutes post-dialysis, and only one case of erythema suggesting infection.

    Conclusions:

    • The developed timesaving method for buttonhole creation is safe and effective.
    • This approach offers a practical and efficient alternative for establishing buttonhole vascular access in hemodialysis patients.