https://doi.org/10.4081/ejtm.2024.12422
Research on comprehensive analysis of patient comfort and complication rate using haemodialysis indwelling needles in AVF puncture in haemodialysis treatment
Submitted: 24 February 2024
Accepted: 12 March 2024
Published: 30 April 2024
Accepted: 12 March 2024
Abstract Views: 513
PDF: 82
HTML: 0
HTML: 0
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Traditional needles for haemodialysis access can cause complications and discomfort. Indwelling needles may have advantages, but their efficacy needs to be investigated. Our study sought to compare the safety and efficacy of indwelling needles to traditional needles for haemodialysis access. A single-center retrospective study at the Pingyang County Hospital of Traditional Chinese Medicine included 70 haemodialysis patients. The intervention group used indwelling needles, whereas the control group used traditional needles. The rate of complications, limb mobility, blood chemistry, puncture success rates, operation times, haemostasis times, pain and comfort scores, and internal fistula failure rates were all compared. Overall, complication rates were slightly higher in the control group, but not statistically significant. Both groups improved their limb mobility and blood chemistry, but there were no significant differences. The intervention group had significantly higher puncture success rates (88.4% vs. 80.0%), shorter operation times (65.4 vs. 72.3 seconds), and faster haemostasis times (23.7 vs. 28.2 seconds) than the control group. Patients in the intervention group experienced less pain (3.7 vs. 4.2) and more comfort (8.1 vs. 7.5). The intervention group had slightly lower internal fistula failure rates (2.9% vs. 5.7%), but the difference was not statistically significant. Indwelling needles appear to improve puncture efficiency and patient comfort during hemodialysis.
Ronco C, Clark WR. Haemodialysis membranes. Nature Rev Nephrol 2018;14:394-410.
DOI: https://doi.org/10.1038/s41581-018-0002-x
Tong A, Manns B, Hemmelgarn B, et al. Establishing core outcome domains in hemodialysis: report of the Standardized Outcomes in Nephrology–Hemodialysis (SONG-HD) consensus workshop. Am J Kidney Dis 2017;69:97-107.
DOI: https://doi.org/10.1053/j.ajkd.2016.05.022
Sahasrabudhe P, Patil S, Dighe T, Panse N. Retrospective analysis of 271 arteriovenous fistulas as vascular access for hemodialysis. Indian J Nephrol 2013;23:191.
DOI: https://doi.org/10.4103/0971-4065.111845
Clark WR, Hamburger RJ, Lysaght MJ. Effect of membrane composition and structure on solute removal and biocompatibility in hemodialysis. Kidney Internat 1999;56:2005-15.
DOI: https://doi.org/10.1046/j.1523-1755.1999.00784.x
Feola A, Giugliano P, La Sala F, et al. Fatal hemorrhage from arteriovenous dialysis access site: A case report. Acta Medica 2018;34:159.
Bin-ayesh HN, Alhussein SH, Alahmari NF, et al. Review on Arteriovenous Fistula Techniques and Complications. Entomol Appl Sci Letters 2021;8:105-13.
DOI: https://doi.org/10.51847/2ea6yiake3
Marticorena RM, Dacouris N, Donnelly SM. Randomized pilot study to compare metal needles versus plastic cannulae in the development of complications in hemodialysis access. J Vascular Access 2018;19:272-82.
DOI: https://doi.org/10.1177/1129729817747535
Weigert A, Drozdz M, Silva F, et al. Influence of gender and age on haemodialysis practices: a European multicentre analysis. Clinical Kidney J 2020;13:217-24.
DOI: https://doi.org/10.1093/ckj/sfz069
Chan K, Moe SM, Saran R, Libby P. The cardiovascular–dialysis nexus: the transition to dialysis is a treacherous time for the heart. Eur Heart J 2021;42:1244-53.
DOI: https://doi.org/10.1093/eurheartj/ehaa1049
Lok CE, Allon M, Moist L, et al. Risk Equation Determining Unsuccessful Cannulation Events and Failure to Maturation in Arteriovenous Fistulas (REDUCE FTM I). J Am Soc Nephrol 2006;17:3204-12.
DOI: https://doi.org/10.1681/ASN.2006030190
Dogra PM, Nair RK, Sood V, et al. Pneumoperitoneum needle vs. introducer needle: Comparison of complications and short‐term outcomes in percutaneously inserted peritoneal dialysis catheters in naïve abdomens. Therapeut Apher Dialysis 2022;26:212-9.
DOI: https://doi.org/10.1111/1744-9987.13688
Kashima Y, Ninomiya S. Hemodialysis efficiency management from the viewpoint of blood removal pressure. Therapeutic Apher Dialysis 2021;25:152-9.
DOI: https://doi.org/10.1111/1744-9987.13557
Yin J, Tian Z, Li P, et al. A time‐saving method of creating AVF buttonholes: indwelling trocar technique. J Clin Nurs 2022;31:3102-9.
DOI: https://doi.org/10.1111/jocn.16136
Evangelidis N, Tong A, Manns B, et al. Developing a Set of Core Outcomes for Trials in Hemodialysis: An International Delphi Survey. Am J Kidney Dis 2017;70:464-75.
DOI: https://doi.org/10.1053/j.ajkd.2016.11.029
Viecelli AK, Tong A, O’Lone E, et al. Report of the Standardized Outcomes in Nephrology–Hemodialysis (SONG-HD) consensus workshop on establishing a core outcome measure for hemodialysis vascular access. Am J Kidney Dis 2018;71:690-700.
DOI: https://doi.org/10.1053/j.ajkd.2017.12.003
Ju A, Teixeira-Pinto A, Tong A, et al. Validation of a Core patient-reported outcome measure for fatigue in patients receiving hemodialysis: the SONG-HD fatigue instrument. Clin J Am Soc Nephrol 2020;15:1614-21.
DOI: https://doi.org/10.2215/CJN.05880420
Wei Z, Han X, Zhi Y, et al. Clinical application of peritoneal dialysis catheterization without capsular puncture technique. BioMed Res Internat 2022;2022:1-6.
DOI: https://doi.org/10.1155/2022/2733659
Swinnen JJ, Baker L, Burgess D, et al. Changing the peritoneal dialysis access algorithm with a precise technique of percutaneous Seldinger PD catheter placement. J Vascular Access 2022;23:615-23.
DOI: https://doi.org/10.1177/11297298221077607
Chen Y-T, Lin S-L. A clinically relevant murine model of peritoneal fibrosis by dialysate and catheters. J Visualized Experiments 2022:63901.
DOI: https://doi.org/10.3791/63901
Baetens TR, Rotmans JI, Van Der Meer RW, Van Rijswijk CS. A novel technique to restore access in patients with central venous occlusion using the Surfacer® Inside-Out® Access Catheter System. J Vascular Access 2020;21:778-82.
DOI: https://doi.org/10.1177/1129729820909730
Peng J, Lin H, Cai C, et al. New method of internal fixation in laparoscopic Tenckhoff catheter placement. Sem Dialysis 2022;35:498-503.
DOI: https://doi.org/10.1111/sdi.13087
Vachharajani TJ, Wong L, Niyyar VD, et al. Buttonhole cannulation of arteriovenous fistulas in the United States. Kidney360 2020;1:306-13.
DOI: https://doi.org/10.34067/KID.0000052020
Hull JE, Jennings WC, Cooper RI, et al. The pivotal multicenter trial of ultrasound-guided percutaneous arteriovenous fistula creation for hemodialysis access. J Vascular Intervent Radiol 2018;29:149-58.e5.
DOI: https://doi.org/10.1016/j.jvir.2017.10.015
Canaud B, Ponce P, Parisotto MT, et al. Vascular access management for haemodialysis: a value-based approach from NephroCare experience. In: E. Berezin A, ed. Vascular Access Surgery - Tips and Tricks: IntechOpen; 2019.
DOI: https://doi.org/10.5772/intechopen.84987
Al-Jaishi AA, Liu AR, Lok CE, et al. Complications of the arteriovenous fistula: a systematic review. J Am Soc Nephrol 2017;28:1839-50.
DOI: https://doi.org/10.1681/ASN.2016040412
Kaygın MA. Our experiences with hemodialysis arteriovenous fistula aneurysm. Turkish J Vascular Surg 2020;29:121-6.
DOI: https://doi.org/10.9739/tjvs.2020.662
Ratnam L, Karunanithy N, Mailli L, et al. Dialysis access maintenance: plain balloon angioplasty. CardioVascular Intervent Radiol 2023;46:1136-43.
DOI: https://doi.org/10.1007/s00270-023-03441-x
Polimanti AC, Fürst RVDC, Galego SJ, et al. Influence of intraoperative findings on immediate flow through radial-cephalic arteriovenous wrist fistulas for hemodialysis access. Jornal Vascular Brasileiro 2018;17:208-14.
DOI: https://doi.org/10.1590/1677-5449.001518
Leapman SB, Boyle M, Pescovitz MD, et al. The arteriovenous fistula for hemodialysis access: gold standard or archaic relic? Am Surg 1996;62:652-6; discussion 6.
Wolowczyk L, Williams AJ, Donovan KL, Gibbons CP. The Snuffbox arteriovenous fistula for vascular access. Eur J Vasc Endovasc Surg 2000;19:70-6.
DOI: https://doi.org/10.1053/ejvs.1999.0969
Al Shakarchi J, Garnham A. 16 Central venous and dialysis access. Vascular and Endovascular Surgery E-Book: Companion to Specialist Surgical Practice. 2023:242.
Dawoud D, Lok CE, Waheed U. Recent advances in arteriovenous access creation for hemodialysis: new horizons in dialysis vascular access. Adv Chronic Kidney Dis 2020;27:191-8.
DOI: https://doi.org/10.1053/j.ackd.2020.02.002
Letachowicz K, Kusztal M, Gołębiowski T, et al. Use of plastic needles for early arteriovenous fistula cannulation. Blood Purification 2015;40:155-9.
DOI: https://doi.org/10.1159/000437043
Darbas Barbe R, Franco K, Sancho C, et al. Vascular access puncture using fistula catheter: Effect on the patient’s pain and adequacy of hemodialysis. 2015. Available from: https://www.researchgate.net/publication/286861913_Vascular_access_puncture_using_fistula_catheter_Effect_on_the_patient's_pain_and_adequacy_of_hemodialysis
Ocaña O, Estaire J, Sanz B, et al. Fistula catheter: a new alternative in venous access puncture. Revista de la Sociedad Española de Enfermería Nefrológica 2010;13:105-11.
Zhang Z, Petersen L, Bible J, et al. Needle angle matters: an investigation of the effect of needle angle on hemodialysis cannulation skill. Kidney360 2023;4:962-70.
DOI: https://doi.org/10.34067/KID.0000000000000163
Nalesso F, Garzotto F, Muraro E, et al. Fistula cannulation with a novel fistula cannula: a review of cannulation devices and procedures. Blood Purification 2018;45:278-83.
DOI: https://doi.org/10.1159/000485594
Chen J, Zhou M, Zeng K, et al. The risk factors of autogenous arteriovenous fistula dysfunction in maintenance hemodialysis patients and the curative effect of personalized nursing. Am J Translat Res 2021;13:5107.
Yin H, Zhou C, Yu H, Ren W. The beneficial effects of the buttonhole technique used for the cannulation of arteriovenous fistula among hemodialysis patients: a literature review. Am J Nurs 2020;10:185-90.
DOI: https://doi.org/10.11648/j.ajns.20211003.19
Santoro D, Benedetto F, Mondello P, et al. Vascular access for hemodialysis: current perspectives. Internat J Nephrol Renovasc Dis 2014:281.
DOI: https://doi.org/10.2147/IJNRD.S46643
How to Cite
Jin, G., Gu, J., Zhang, Y., & Ren, S. (2024). Research on comprehensive analysis of patient comfort and complication rate using haemodialysis indwelling needles in AVF puncture in haemodialysis treatment. European Journal of Translational Myology, 34(2). https://doi.org/10.4081/ejtm.2024.12422
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.