The buttonhole technique for arteriovenous fistula cannulation

Area of Science:

• Nephrology
• Vascular Access Surgery

Background:

• The buttonhole cannulation technique was introduced in Europe and Japan 30 years ago, and in Seattle 25 years ago.
• Its adoption in the United States has been limited, potentially due to the prevalence of graft use over the past two decades.
• Recent increases in arteriovenous fistulae (AVF) have renewed interest in the buttonhole technique as a viable cannulation option.

Purpose of the Study:

• To provide essential technical information regarding the buttonhole cannulation technique.
• To equip nephrology nurses with the knowledge needed to perform this method effectively.
• To highlight the buttonhole technique as an increasingly recognized option for vascular access.

Main Methods:

• This article focuses on providing technical details and procedural information.
• It serves as a guide for nephrology nurses implementing the buttonhole technique.
• The content is based on established practices and aims to facilitate understanding.

Main Results:

• The buttonhole technique is presented as a viable cannulation option.
• The article aims to increase the understanding and application of this technique among nurses.
• It addresses the historical context and current resurgence of interest.

Conclusions:

• The buttonhole technique is a recognized and viable method for vascular access cannulation.
• Nephrology nurses can benefit from detailed technical guidance for its application.
• The increasing prevalence of AV fistulae supports the re-evaluation and adoption of this technique.