Using two‐holed needles for both arterial and venous accesses to the arteriovenous fistula to improve flow during hemodialysis

This prospective study compared methods using both arterial and venous needles with back eyes with those using only arterial needle with back eye for arteriovenous fistula cannulation. Sixty‐one patients receiving hemodialysis (HD) via an arteriovenous fistula were evaluated. All patients underwent...

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Bibliographic Details
Published in:Therapeutic apheresis and dialysis 2022-02, Vol.26 (1), p.191-196
Main Authors: Yilmaz, Ustun, Unal, Aysun, Gul, Semih, Demirtas, Gulay, Inci, Ayca, Sahinturk, Yasin
Format: Article
Language:English
Subjects:
arteriovenous fistula
Arteriovenous Shunt, Surgical - instrumentation
Arteriovenous Shunt, Surgical - methods
cannulation
Equipment Design
Female
hemodialysis
Humans
Male
Middle Aged
needle
Needles
Prospective Studies
puncture
Punctures - instrumentation
Punctures - methods
Renal Dialysis - methods
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Summary:This prospective study compared methods using both arterial and venous needles with back eyes with those using only arterial needle with back eye for arteriovenous fistula cannulation. Sixty‐one patients receiving hemodialysis (HD) via an arteriovenous fistula were evaluated. All patients underwent arteriovenous fistula puncture using only arterial needle with back eye in first 3 months and both arterial and venous needles with back eyes in following 3 months. Arterial and venous pressures, blood flow velocities, total blood volume cleared, and Kt/V values were compared. Mean blood flow velocity, arterial pressure, Kt/V, and cleared total blood volume values were higher and venous pressure was lower in patients who underwent cannulation using both needles with back eyes than in those with only the arterial needle with back eye. For arteriovenous fistula cannulation, using both arterial and venous needles with back eyes provides adequate HD more successfully.
ISSN:1744-9979
1744-9987
DOI:10.1111/1744-9987.13689