83 Twardowski Z The History of Buttonhole Technique.pptx ... - SFAV

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Krönung G: Plastic deformation of Cimino fistula by repeated puncture. Dial Transplant 1984; 13, 635 • Rope ladder method requires fistula with long segments suitable for cannulations • Area puncture method, where punctures are done in a confined area, weakens fistula wall and leads to development of (pseudo)aneurysms, and strictures • Buttonhole (constant site) method is the best - may be also used in fistulas with short segments suitable for sticking
Home Hemodialysis Patients in the late 1980s • Scribner taught this method one of his home hemodialysis patients, Andrew Peter Lundin, later Professor of Nephrology • Peter also informed George Harper, another home hemodialysis patient from Rome, Georgia, about the advantages of the method • Both patients used only sharp needles and cannulated themselves– Peter for 20 years , George 18, until received transplant
Page 1 and 2: The History of Buttonhole Technique
Page 3 and 4: Puncture sites Antegrade Retrograde
Page 5 and 6: Early Development of the Technique
Page 7 and 8: What about the first patient? • T
Page 9 and 10: Comparison of the two methods of ne
Page 11 and 12: Conclusions of the initial study (2
Page 13: Constant Site Puncture Method in th
Page 17 and 18: Why the method revived in the late
Page 19 and 20: Efforts in the late 1990s • I con
Page 21 and 22: Current Status • More than 40 yea
Page 23: Thank you

83 Twardowski Z The History of Buttonhole Technique.pptx ... - SFAV

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