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Related Concept Videos

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Related Experiment Video

Updated: Apr 30, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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Managing 'buttonhole' complications.

Nicole A Wilson1, Surendra Shenoy

  • 1Department of Surgery, Washington University School of Medicine, Barnes Jewish Hospital, Saint Louis - USA.

The Journal of Vascular Access
|May 13, 2014
PubMed
Summary
This summary is machine-generated.

Buttonhole cannulation for arteriovenous fistula (AVF) access may reduce complications but carries risks. Understanding its mechanism can help mitigate issues like bleeding and infection.

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Area of Science:

  • Nephrology
  • Vascular Surgery
  • Infectious Diseases

Background:

  • Cannulation problems in vascular access lead to morbidity, mortality, and access site loss.
  • Buttonhole cannulation is promoted for arteriovenous fistula (AVF) access due to fewer complications and patient-friendliness.
  • Concerns have arisen regarding complications associated with widespread buttonhole cannulation use.

Purpose of the Study:

  • To explore the anatomic and physiologic basis of buttonhole cannulation.
  • To provide explanations for complications associated with this technique.
  • To identify infectious problems predisposing to bleeding and discuss their management.

Main Methods:

  • Literature review focusing on the mechanism of buttonhole cannulation.
  • Evaluation of buttonhole sites for infectious complications.
  • Analysis of factors contributing to bleeding in buttonhole cannulation.

Main Results:

  • The article provides insights into the functional mechanism of buttonhole cannulation.
  • Potential explanations for certain complications are discussed.
  • Infectious issues and their link to bleeding are highlighted.

Conclusions:

  • A clear understanding of buttonhole cannulation's mechanism is crucial for mitigating complications.
  • Identifying and managing infectious problems can help reduce bleeding and improve AVF outcomes.
  • Further research may help devise techniques to minimize buttonhole cannulation-related risks.