The efficacy and durability of the Venous Window Needle Guide implanted on uncannulatable arteriovenous fistulas Spencer Galt, MD, Mark Crawford, BA,

Slides:

Advertisements

Similar presentations

Radial artery deviation and reimplantation inhibits venous juxta-anastomotic stenosis and increases primary patency of radial-cephalic fistulas for hemodialysis

Advertisements

Outcomes of cold-stored venous allograft for below-knee bypasses in patients with critical limb ischemia Vincent Ziza, MD, Ludovic Canaud, MD, PhD, Thomas.

Proximal radial artery arteriovenous fistula for hemodialysis vascular access William C. Jennings, MD, Alexandros Mallios, MD, Nasir Mushtaq, PhD, MBBS,

Endovascular therapy for acute limb ischemia

James C. Harms, MD, Sunil Rangarajan, MD, Carlton J

Prospective controlled pilot study of arteriovenous fistula placement using the novel Optiflow device Milind Nikam, MBBS, MRCP (Neph), MD, Eric Solomon.

Radial artery deviation and reimplantation inhibits venous juxta-anastomotic stenosis and increases primary patency of radial-cephalic fistulas for hemodialysis

Eric K. Peden, MD, Timothy P. O'Connor, MD, Barry J

Vascular access in hemodialysis patients older than 80 years

Primary balloon angioplasty plus balloon angioplasty maturation to upgrade small- caliber veins (

Fifteen years of infrapopliteal arterial reconstructions with cryopreserved venous allografts for limb salvage Caren Randon, MD, Bart Jacobs, MD, Frederik.

Staple aneurysmorrhaphy to salvage autogenous arteriovenous fistulas with aneurysm- related complications Trung Vo, MD, Gloria Tumbaga, MD, Paul Aka,

Adjunctive use of the superficial femoral vein for vascular reconstructions Soma Brahmanandam, MD, MPH, Daniel Clair, MD, James Bena, MS, Timur Sarac,

Primary arteriovenous fistula inflow proximalization for patients at high risk for dialysis access-associated ischemic steal syndrome William C. Jennings,

Safety and efficacy of a modified HeRO dialysis device in achieving early graft cannulation: A single-institution experience John W. Perry, BS, David.

The efficacy of salvage interventions on threatened distal bypass grafts Sanjay Dhanji Patel, FRCS, Vassilios Zymvragoudakis, MD, Lisa Sheehan, MRCS,

Comparative outcomes of primary autogenous fistulas in elderly, multiethnic Asian hemodialysis patients Claude J. Renaud, MRCP (UK), FAMS, Jackie Ho.

Early duplex scanning after infrainguinal endovascular therapy

Use of a proactive duplex ultrasound protocol for hemodialysis access

Prosthetic lower extremity hemodialysis access grafts have satisfactory patency despite a high incidence of infection Irma L. Geenen, MD, Lydia Nyilas,

Tumescent anesthesia reduces pain associated with balloon angioplasty of hemodialysis fistulas Wen-Yu V. Haines, MD, Ryan Deets, BS, Ning Lu, BS, John.

Efficacy of duplex ultrasound surveillance after infrainguinal vein bypass may be enhanced by identification of characteristics predictive of graft stenosis.

William C. Jennings, MD, Matthew J. Sideman, MD, Kevin E

Ethnic differences in arm vein diameter and arteriovenous fistula creation rates in men undergoing hemodialysis access Brandon Ishaque, BA, Mohamed A.

Cost per day of patency: Understanding the impact of patency and reintervention in a sustainable model of healthcare Michael C. Stoner, MD, Dorian J.

Evaluation of the efficacy of the forearm basilic vein transposition arteriovenous fistula Hae-Jung Son, MD, Seung-Kee Min, MD, PhD, Sang-Il Min, MD,

Endoscopic basilic vein transposition for hemodialysis access

A randomized trial of vonapanitase (PATENCY-1) to promote radiocephalic fistula patency and use for hemodialysis Anthony J. Bleyer, MD, MS, Vincent A.

Amy N. Roach, BS, Sebastian Larion, MS, Sadaf S. Ahanchi, MD, Chad P

Arteriovenous fistula combined with brachial artery superficialization is effective in patients with a high risk of maturation failure Masaaki Murakami,

Use of the Flixene vascular access graft as an early cannulation solution Xavier Berard, MD, PhD, Nicolas Ottaviani, MD, Vincenzo Brizzi, MD, Sebastien.

Optimal conduit choice in the absence of single-segment great saphenous vein for below-knee popliteal bypass James T. McPhee, MD, Neal R. Barshes, MD,

Michael D. Sgroi, MD, Madhukar S. Patel, MD, Samuel E

Lesion types and device characteristics that predict distal embolization during percutaneous lower extremity interventions Gautam V. Shrikhande, MD,

The influence of cephalic vein diameter and diabetes on primary maturation and patency of autogenous radiocephalic arteriovenous fistulas Yang Jin Park,

Primary and staged transposition arteriovenous fistulas

Reduced primary patency rate in diabetic patients after percutaneous intervention results from more frequent presentation with limb-threatening ischemia

Safety and efficacy of a modified HeRO dialysis device in achieving early graft cannulation: A single-institution experience John W. Perry, BS, David.

Adjuvant arteriovenous fistula as means of rescue for infrapopliteal venous bypass with poor runoff Katariina Laurila, MD, Michael Luther, MD, Wolf-Dieter.

Andre Biuckians, MD, MPH, Eric C. Scott, MD, George H

Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients Andrew M. Bakken, MD, Clinton D. Protack,

Determinants of mortality and treatment outcome following surgical interventions for acute mesenteric ischemia Panagiotis Kougias, MD, Donald Lau, BS,

A comparison of the outcomes of one-stage and two-stage brachiobasilic arteriovenous fistulas Georgios Vrakas, MD, MSc, Fatima Defigueiredo, Sam Turner,

Mingzheng Aaron Goh, MBChB, AFHEA, MRCS, Jason M

Patient compliance limits the efforts of quality improvement initiatives on arteriovenous fistula maturation Susanna K. Lynch, BS, Sadaf S. Ahanchi,

Balloon angioplasty vs nitinol stent placement in the treatment of venous anastomotic stenoses of hemodialysis grafts after surgical thrombectomy John.

Prevention of vascular access hand ischemia using the axillary artery as inflow William Jennings, MD, Robert Brown, MD, John Blebea, MD, MBA, Kevin Taubman,

Brachiobasilic versus brachiocephalic arteriovenous fistula: A prospective randomized study Cuneyt Koksoy, MD, Rojbin Karakoyun Demirci, MD, Deniz Balci,

Comparison of posterior and medial approaches for popliteal artery aneurysms Daniela Mazzaccaro, MD, Michele Carmo, MD, Raffaello Dallatana, MD, Alberto.

James T. McPhee, MD, Louis L. Nguyen, MD, MBA, MPH, Karen J. Ho, MD, C

Cassius Iyad Ochoa Chaar, MD, Michel S. Makaroun, MD, Luke K

Glauco Milio, MD, Chiara Minà, MD, Valentina Cospite, MD, Piero L

Donald T. Baril, MD, Luke K. Marone, MD, Justine Kim, Michael R

Distal vein patch with an arteriovenous fistula: A viable option for the patient without autogenous conduit and severe distal occlusive disease Richard.

Gregory C. Schmieder, MD, Megan Carroll, BA, BS, Jean M. Panneton, MD

A comparison of the standard bolia technique versus subintimal recanalization plus Viabahn stent graft in the management of femoro-popliteal occlusions

M. Chris Pastor, MD, MSc, David Kopriva, MDCM, FRCS(C)

Christopher J. Abularrage, MD, Mark F. Conrad, MD, MMSc, Lauren A

Long-term outcomes of patients undergoing endovascular infrainguinal interventions with single-vessel peroneal artery runoff Christopher J. Abularrage,

Creating functional autogenous vascular access in older patients

Regarding “Radial artery deviation and reimplantation inhibits venous juxta-anastomotic stenosis and increases primary patency of radial-cephalic fistulas.

Preliminary results of the initial United States experience with the Supera woven nitinol stent in the popliteal artery Luis R. León, MD, RVT, Robert.

Efficacious use of nitinol stents in the femoral and popliteal arteries Todd R Vogel, MD, Larry E Shindelman, MD, Gary B Nackman, MD, Alan M Graham, MD

The Venous Window Needle Guide, a hemodialysis cannulation device for salvage of uncannulatable arteriovenous fistulas William C. Jennings, MD, Spencer.

Journal of Vascular Surgery

Journal of Vascular Surgery

Outcomes of cold-stored venous allograft for below-knee bypasses in patients with critical limb ischemia Vincent Ziza, MD, Ludovic Canaud, MD, PhD, Thomas.

One-year patency rate of native arteriovenous fistulas reconstructed by vascular stripping in hemodialysis patients with venous neointimal hyperplasia

Surgical versus endovascular repair by iliac branch device of aneurysms involving the iliac bifurcation Konstantinos P. Donas, MD, PhD, Giovanni Torsello,

Percutaneous closure of adjunctive arteriovenous fistulas after surgical reconstruction of iliac veins Jennifer Fahrni, MD, Peter Gloviczki, MD Journal.

Presentation transcript:

The efficacy and durability of the Venous Window Needle Guide implanted on uncannulatable arteriovenous fistulas Spencer Galt, MD, Mark Crawford, BA, John Blebea, MD, Eric Ladenheim, MD, Barry Browne, MD Journal of Vascular Surgery Volume 64, Issue 3, Pages 708-714 (September 2016) DOI: 10.1016/j.jvs.2016.03.425 Copyright © 2016 Terms and Conditions

Fig 1 a, The Venous Window Needle Guide (VWING) vascular needle guide (Vital Access Corp, Salt Lake City, Utah). The cannulation device consists of a single piece of titanium that allows repeated access of an arteriovenous fistula (AVF) through a single puncture site (buttonhole technique). b, The schematic image shows the VWING sutured to the anterior AVF wall using the eight suture slots. Cannulation is allowed using the buttonhole technique 3 weeks after implantation. c, Each VWING device is 17.7 mm long and available in 7- and 9-mm widths for variation in vessel diameter. AVF depth variation is accommodated by available heights of 4, 6, 8, and 10 mm. All images were provided by and reproduced with permission of Vital Access Corporation. Journal of Vascular Surgery 2016 64, 708-714DOI: (10.1016/j.jvs.2016.03.425) Copyright © 2016 Terms and Conditions

Fig 2 Patient recruitment. SAVE, Salvage of AV Fistulae. Journal of Vascular Surgery 2016 64, 708-714DOI: (10.1016/j.jvs.2016.03.425) Copyright © 2016 Terms and Conditions

Fig 3 Kaplan-Meier curve for fistula primary patency. Journal of Vascular Surgery 2016 64, 708-714DOI: (10.1016/j.jvs.2016.03.425) Copyright © 2016 Terms and Conditions

Fig 4 Kaplan-Meier curve for fistula primary assisted patency. Journal of Vascular Surgery 2016 64, 708-714DOI: (10.1016/j.jvs.2016.03.425) Copyright © 2016 Terms and Conditions

Fig 5 Kaplan-Meier curves demonstrating patency related to interventions at the Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah) site compared with those remote from the VWING. AVF, Arteriovenous fistula; SAVE, Salvage of AV Fistulae. Journal of Vascular Surgery 2016 64, 708-714DOI: (10.1016/j.jvs.2016.03.425) Copyright © 2016 Terms and Conditions

Fig 6 Kaplan-Meier curve for primary functional patency of the Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah). Journal of Vascular Surgery 2016 64, 708-714DOI: (10.1016/j.jvs.2016.03.425) Copyright © 2016 Terms and Conditions

Fig 7 Kaplan-Meier curve for secondary functional patency for the Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah). Journal of Vascular Surgery 2016 64, 708-714DOI: (10.1016/j.jvs.2016.03.425) Copyright © 2016 Terms and Conditions