Clinical Utility of the Buttonhole Technique Using Biohole(TM) in Hemodialysis Patients / 대한내과학회지
Korean Journal of Medicine
;
: 307-312, 2012.
Article
in Korean
| WPRIM
| ID: wpr-88406
ABSTRACT
BACKGROUND/AIMS:
Buttonhole cannulation has been popular because it provides an easy puncture, is less painful, and requires less time for hemostasis. However, the technique requires a skilled staff and a long time to form the tract. A new buttonhole technique using Biohole(TM), which shortens the time needed for tract formation, has been introduced in Europe, North America, and Japan.METHODS:
We prepared a cannulation tract using the buttonhole technique and Biohole(TM) over a two-week period and compared the 12-week outcomes between patients who underwent the rope-ladder versus buttonhole techniques.RESULTS:
The 40 patients (27 males) had a mean age of 49.1 +/- 14.2 years. Thirteen and 27 patients were cannulated with the rope-ladder and buttonhole techniques, respectively. Patients who underwent the buttonhole technique had more initial pain than did those who received the rope-ladder technique (p = 0.044). The Biohole(TM) procedure improved puncture pain (5.6 vs. 3.4, p = 0.003) and shortened hemostasis time (1.8 vs. 1.3, p = 0.001). Over a two-week period, patients using Biohole(TM) experienced dislocation (20.8%), bleeding at peg sites (8.6%), and pain during peg change (2.4%). Over the 12 week study period, patients who underwent the buttonhole technique had insignificantly less pain than did those who received the rope-ladder technique (p = 0.088), but the former had less bleeding time than the latter (p = 0.000). One patient who received the buttonhole technique experienced one episode of infection (p = 0.327).CONCLUSIONS:
The new buttonhole technique using Biohole(TM) is safe and useful in the short term. A long-term, larger, multicenter study is required to confirm these results.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Bleeding Time
/
Catheterization
/
Punctures
/
Renal Dialysis
/
Joint Dislocations
/
Europe
/
Hemorrhage
/
Hemostasis
/
North America
Type of study:
Controlled clinical trial
Limits:
Humans
Country/Region as subject:
North America
/
Europa
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2012
Type:
Article
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