ArticleBMC nephrology2021
Cannulation technique and complications in arteriovenous fistulas: a Swedish Renal Registry-based cohort study.
Article in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 24 citations in OpenAlex.
- Disinfection with chlorhexidine is more effective than ethanol for buttonhole cannulation in arteriovenous fistula: a randomized cross-over trial.BMC nephrology · 2025Trial
- Investigation the implementation of evidence-based protocols for cannulation in Arteriovenous Fistula: a mixed methods study.BMC nephrology · 2026Article
- Construction of nursing-sensitive quality indicators for hemodialysis vascular access: a Delphi study.Frontiers in public health · 2026Article
- Arteriovenous shunt cannulation in hemodialysis patients: A prospective cohort study of outcomes and complications in a resource-limited healthcare system.SAGE open medicine · 2025Article
- Hemodialysis patients and complications management costs in Italy: Plastic cannulae a potentially cost-effective strategy.The journal of vascular access · 2024Article
- Point-of-Care Arterio-Venous Fistula Ultrasound in the Outpatient Hemodialysis Unit-A Survey on the Nurses' Perspective.Nursing reports (Pavia, Italy) · 2024Article
- Characteristics of Vascular Access Cannulation Complications in End Stage Kidney Disease Patients in West Java from 2018 to 2022: A Retrospective Observational Study.International journal of nephrology and renovascular disease · 2024Article
- The Effectiveness of Electronic Cannulation Atlas in Patients with Arteriovenous Fistula.International journal of general medicine · 2024Article
- Risk assessment of failure during transitioning from in-centre to home haemodialysis.BMC nephrology · 2022Article
- Managing thrombosis of arteriovenous fistula accompanied by aneurysm and single outflow of elbow perforating vein: a case report.BMC nephrology · 2022Article
- Evaluating a Fistula Self-Care Bundle's Effect on Hemodialysis Patients' Complications.SAGE open nursingArticle
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe four cannulation techniques, rope ladder (RL), area puncture (AP), buttonhole with blunt needles (BHb), and buttonhole with sharp needles (BHs), affects the arteriovenous fistula (AVF) in different ways. The aim of this study was to describe the relationship between the different cannulation techniques and the occurrence of AVF complications.
methodsThe study was performed as a national registry-based cohort study using data from the Swedish Renal Registry (SRR). Data were collected from January 2014 to October 2019. Seventy of Sweden's dialysis units participate in the registry. We analyzed a total of 1328 AVFs in this study. The risk of complications was compared between the four different cannulation techniques. The risk of AVF complications was measured by the incidence and incidence rate ratio (IRR). We compared the IRRs of complications between different cannulation techniques.
resultsBHs is the most common cannulation technique in Sweden. It has been used in 55% of the AVFs at some point during their functional patency. BHb (29%), RL (13%), and AP (3%) has been used less. BHb had the lowest risk of complications compared to the other techniques, and a significantly lower risk of stenosis, infiltration, cannulation difficulties, compared to RL and BHs. Cannulation difficulties were significantly more common using AP compared to BHs, and BHb. Infections were not significantly increased using the buttonhole technique.
conclusionsBHb had the lowest risk of complications. Infections were not significantly increased using the buttonhole technique. Dialysis units with a low infection rate may continue to use the buttonhole technique, as the risk of complications is lower.
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