Related Experiment Video
Updated: Jul 15, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
A multi-center perspective of the Buttonhole Technique in the Pacific Northwest
Lynda K Ball1, Lynne Treat, Virginia Riffle
1Renal Educator and National Speaker on Vascular Access, Northwest Renal Network, Seattle, WA, USA.
Abstract:
There is no solid data on how many dialysis facilities and home hemodialysis programs in the United States are cannulating arteriovenous fistulas via the Buttonhole Technique. In the Pacific Northwest (Northwest Renal Network #16), approximately 38% of facilities are utilizing the buttonhole technique. In this article, four of those facilities will share their experiences, which suggest the Buttonhole Technique is a viable AVF cannulation option that has fewer complications than site rotation and a higher level of patient satisfaction.