Arteriovenous shunt cannulation in hemodialysis patients: A prospective cohort study of outcomes and complications in a resource-limited healthcare system.

Ramzi Shawahna, Aseel Hafaitha, Lyan Saadi, Salwa Haj-Yahia, Tala Adawi, Sultan Saada, Hatim Hijaz

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Article in SAGE open medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Ramzi ShawahnaDepartment of Physiology, Pharmacology, and Toxicology, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.ORCID https://orcid.org/0000-0002-2403-610X

Aseel HafaithaDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.

Lyan SaadiDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.

Salwa Haj-YahiaDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.

Tala AdawiDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.

Sultan SaadaDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.

Hatim HijazDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The primary objective of this study was to assess the outcomes and complication rates associated with different arteriovenous shunt cannulation methods among patients with end-stage chronic kidney disease. Methods: The study was carried out at two major hemodialysis centers in a resource-limited healthcare system. A total of 309 patients were included. Vascular access was achieved using the area puncture technique in 171 patients (55.3%) and the rope-ladder technique in 138 patients (44.7%). Results: Of the patients, 62 (20.1%) suffered vascular access complications (0.63 events/1000 access days). Hematoma was the most common complication, occurring in 43 patients. Hematoma was significantly associated with female sex ( Conclusion: Our findings underscore the critical need to implement evidence-based protocols, enhance staff training, and address systemic obstacles in vascular access management.

Indexed as

arteriovenous cannulationcomplicationsend-stage kidney diseasefistulagrafthemodialysisoutcomes

Identifiers

PMID41415914

DOI10.1177/20503121251407165

PMCPMC12709020

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LicenceCC BY-NC

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.