Starting from the recent analysis about the buttonhole technique (BT) by Dr. Napoli (6), our study focuses on some uncertain issues of the results. In particular, the increased risk of infection and the low incidence of aneurysms associated with BT. If BT safety will be confirmed in future studies it might be chosen for patients who present a particular arteriovenous fistula (AVF) location and in order to reduce aneurysm formation.
TwardowskiZ.J., KubaraH.. Different sites versus constant sites of needle insertion into arteriovenous fistulas for treatment by repeated dialysis.Dial Transplant1979; 8: 978–80.
2.
BallL., TreatL., RiffleV.. A multi-center perspective of the buttonhole technique in the Pacific Northwest.Nephrol Nurs J2007; 34: 234–41.
3.
VauxE., KingJ., LloydS.. Effect of buttonhole cannulation with a polycarbonate PEG on in-center hemodialysis fistula outcomes: a randomized controlled trial.Am J Kidney Dis2013; 62(1): 81–8.
4.
ChowJ., RaymentG., San MiguelS., GilbertM.. A randomised controlled trial of buttonhole cannulation for the prevention of fistula access complications.J Ren Care2011; 37(2): 85–93.
5.
MacRaeJ.M., AhmedS.B., AtkarR., HemmelgarnB.R.. A randomized trial comparing buttonhole with rope ladder needling in conventional hemodialysis patients.Clin J Am Soc Nephrol2012; 7(10): 1632–8.
6.
NapoliM.. Il buttonhole: come trasformare una fistola in un catetere.Giornale di Techniche Nefrologiche & Dialitiche2013; 25(4): 290–2.
7.
GrudzinskiA., MendelssohnD., PierratosA., NesrallahG.. A systematic review of buttonhole cannulation practices and outcomes.Semin Dial2013; 26(4): 465–75.
8.
MustafaR.A., ZimmermanD., RiouxJ.P.. Vascular access for intensive maintenance hemodialysis: a systematic review for a Canadian Society of Nephrology clinical practice guideline.Am J Kidney Dis2013; 62(1): 112–31.
9.
AtkarR.K., MacraeJ.M.. The buttonhole technique for fistula cannulation: pros and cons.Curr Opin Nephrol Hypertens2013; 22(6): 629–36.
10.
LabriolaL., CrottR., DesmetC., AndréG., JadoulM.. Infectious complications following conversion to buttonhole cannulation af native arteriovenous fistulas: a quality improvement report.Am J Kidney Dis2011; 57(3): 442–8.
11.
Roy-ChaudhuryP., KellyB.S., ZhangJ.. Hemodialysis vascular access dysfunction: from pathophysiology to novel therapies.Blood Purif2003; 21: 99–110.
