For about 30 years the button-hole (B-H) technique has been used in several medical centers throughout the world, yielding contrasting results as for the survival of arteriovenous fistula, infections, hematomas, and pain during needle insertion. In this study we report the case of a medium-scale medical center that has been using the B-H technique for 4 years with satisfying results. These are likely to derive from the careful disinfection carried out, the supporting role of informatics tools and, particularly, from the strong determination of the caregivers, encouraged by the first positive results.
NapoliM.. Il Buttonhole: come trasformare una fistola in un catetere.Giornale di Techniche Nefrologiche & Dialitiche2013; 25: 290–2.
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TwardowskiZ.J., KubaraH.. Different sites versus constant sites of needle insertion into arteriovenous fistulas for treatment by repeated dialysis.Dial Transplant1979; 8: 978–80.
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PegoraroM.. La puntura a occhiello o buttonhole: quali sono le cose che “fanno la differenza”. Una revisione della letteratura infermieristica.Giornale di Techniche Nefrologiche & Dialitiche2013; 25(2): 118–25.
