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

Slides:

Advertisements

Similar presentations

Hemodialysis arteriovenous fistula as first option not necessary in elderly patients Jie Cui, MD, David Steele, MD, Julia Wenger, MPH, Tatsuo Kawai, MD,

Advertisements

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

Vascular changes at the puncture segments of arteriovenous fistula for hemodialysis access Ju-Feng Hsiao, MD, Hsin-Hua Chou, MD, Lung-An Hsu, MD, PhD,

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,

In vitro hemodynamic model of the arm arteriovenous circulation to study hemodynamics of native arteriovenous fistula and the distal revascularization.

Lipectomy as a new approach to secondary procedure superficialization of direct autogenous forearm radial-cephalic arteriovenous accesses for hemodialysis

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

Prospective multicenter study with a 1-year analysis of a new vascular graft used for early cannulation in patients undergoing hemodialysis Marc H. Glickman,

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

Creation and closure of temporary arteriovenous fistulas for venous reconstruction or thrombectomy: Description of technique Richard J. Sanders, M.D.,

Howard E. Katzman, MD, Robert B. McLafferty, MD, John R

Vascular access in hemodialysis patients older than 80 years

A modified nontransposed brachiobasilic arteriovenous fistula versus brachiocephalic arteriovenous fistula for maintenance hemodialysis access Dayong.

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,

Lindsey M. Korepta, MD, Jennifer J. Watson, MD, Erin A

Lower extremity arterial revascularization using conditioned small-diameter great saphenous vein Maher Fattoum, MD, Stefan Kennel, MD, Peter Knez, MD,

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

Takashi Nakamura, MD, Kotaro Suemitsu, MD, Junichi Nakamura, MD

Bradley B. Hill, MD, A. K. Chan, MD, R. M. Faruqi, MD, F. R

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

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

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.

Luigi Pascarella, MD, Geert W. Schmid-Schönbein, PhD, John Bergan, MD

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

Successful use of minimal incision superficialization technique for arteriovenous fistula maturation Sashi Inkollu, MD, Jason Wellen, MD, MBA, Zachary.

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.

Management of true aneurysms of hemodialysis access fistulas

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,

A comparison of patency and interventions in thigh versus Hemodialysis Reliable Outflow grafts for chronic hemodialysis vascular access Evan R. Brownie,

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.

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,

Thomas S. Huber, MD, PhD, Michael P. Brown, DO, James M. Seeger, MD, W

Multicenter phase I/II trial of the safety of allogeneic endothelial cell implants after the creation of arteriovenous access for hemodialysis use: The.

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

Traumatic arteriovenous fistula 52 years after injury

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

Early results of percutaneous arteriovenous fistula creation with the Ellipsys Vascular Access System Alexandros Mallios, MD, William C. Jennings, MD,

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

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,

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

The influence of metabolic syndrome on hemodialysis access patency

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

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

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.

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.

Left common iliac artery to inferior vena cava abdominal wall arteriovenous graft for hemodialysis access Nader Zamani, BS, Javier E. Anaya-Ayala, MD,

Primary balloon angioplasty of small (≤2 mm) cephalic veins improves primary patency of arteriovenous fistulae and decreases reintervention rates Pierfrancesco.

Vascular changes at the puncture segments of arteriovenous fistula for hemodialysis access Ju-Feng Hsiao, MD, Hsin-Hua Chou, MD, Lung-An Hsu, MD, PhD,

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

Healing of venous ulcers secondary to an ankle arteriovenous fistula

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

Modified use of the Hemodialysis Reliable Outflow (HeRO) graft for salvage of threatened dialysis access Bassan J. Allan, MD, Angela T. Prescott, MD,

Presentation transcript:

The Venous Window Needle Guide, a hemodialysis cannulation device for salvage of uncannulatable arteriovenous fistulas William C. Jennings, MD, Spencer W. Galt, MD, Surendra Shenoy, MD, Shouwen Wang, MD, PhD, Eric D. Ladenheim, MD, Marc H. Glickman, MD, Pranay Kathuria, MD, Barry J. Browne, MD Journal of Vascular Surgery Volume 60, Issue 4, Pages 1024-1032 (October 2014) DOI: 10.1016/j.jvs.2014.04.016 Copyright © 2014 The Authors Terms and Conditions

Fig 1 a, The Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah). The cannulation device is comprised 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 in length and available in 7 and 9 mm widths for variation in vessel diameter. AVF depth variation is accommodated by available 4-, 6-, 8-, and 10-mm heights. All images were provided by and reproduced with permission of Vital Access Corporation. Journal of Vascular Surgery 2014 60, 1024-1032DOI: (10.1016/j.jvs.2014.04.016) Copyright © 2014 The Authors Terms and Conditions

Fig 2 The photo shows a Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah) device sutured to the anterior surface of the fistula just before closure of the incision. The anterior surface of the fistula was exposed, however, the vein was otherwise left undisturbed. Journal of Vascular Surgery 2014 60, 1024-1032DOI: (10.1016/j.jvs.2014.04.016) Copyright © 2014 The Authors Terms and Conditions

Fig 3 A limited (focal) lipectomy is shown in this photo. The excision of the small segment of adipose tissue was necessary at the proximal Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah) site to ensure easy palpation of the device for reliable cannulation. Journal of Vascular Surgery 2014 60, 1024-1032DOI: (10.1016/j.jvs.2014.04.016) Copyright © 2014 The Authors Terms and Conditions

Fig 4 The photo shows an arteriovenous fistula (AVF) 3 weeks after implantation of two Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah) devices at the time of initial cannulations. The arrows indicate the easily palpated cannulation ridges. In most patients, prompt AVF access and conversion to blunt needles was allowed. Journal of Vascular Surgery 2014 60, 1024-1032DOI: (10.1016/j.jvs.2014.04.016) Copyright © 2014 The Authors Terms and Conditions

Fig 5 The number and percentage of Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah) devices in use during the 6-month study period. Journal of Vascular Surgery 2014 60, 1024-1032DOI: (10.1016/j.jvs.2014.04.016) Copyright © 2014 The Authors Terms and Conditions

Fig 6 The Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah) site-associated and non-VWING site-associated contribution to loss of fistula primary patency are shown in the Kaplan-Meier vascular access patency display. Cumulative (secondary) and assisted patency rates were 100% during the study period. The number of patients at risk for each group is indicated at the bottom of the graph. AVF, Arteriovenous fistula; SAVE, Venous Window Needle Guide for Salvage of AV Fistulae. Journal of Vascular Surgery 2014 60, 1024-1032DOI: (10.1016/j.jvs.2014.04.016) Copyright © 2014 The Authors Terms and Conditions

Fig 7 A Venous Window Needle Guide (VWING; Vital Access Corp, Salt Lake City, Utah) buttonhole site after 6 months of regular cannulation is shown (circled). The distal (arterial) site has been cannulated. This typical VWING buttonhole site was small and free of inflammation or edema, likely because of the ease and reliability of cannulation. Journal of Vascular Surgery 2014 60, 1024-1032DOI: (10.1016/j.jvs.2014.04.016) Copyright © 2014 The Authors Terms and Conditions