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

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Early Publications on Constant Site Puncture Method • After 5 years we published our observations in the Polish literature and after 7 years in Dialysis and Transplantation • Twardowski Z, Lebek R, Kubara H: Sześcioletnie kliniczne doświadczenie z wytwarzaniem i użytkowaniem u wewnętrznych przetok tętniczot tniczo-żylnych u chorych leczonych powtarzanymi hemodializami. [Six- year experience with the creation and use of internal arteriovenous fistulae in patients treated with repeated hemodialysis.]Pol Arch Med Wewn. 1977; 57(3):205–214. 214. • Twardowski Z, Kubara H: Different sites versus constant sites of needle insertion into arteriovenous fistulas for treatment by repeated dialysis. Dialysis & Transplantation. 1979; 8(10): 978 - 980.
Comparison of the two methods of needle insertion in the original study Different sites Constant sites Number of fistulas 22 25 Number of dialyses 4060 6180 Time of setting up dialysis 15-25 5-15 Reinsertion (%) 9.91 0.96 Hematoma formation (%) 12.5 0.1 Fistula limb failure 3 1 Fistula failure 1 1 Infection requiring ABX 1 3 Patients' preference Nurses' preference No No Yes Yes Twardowski Z, Kubara H: Dial Transplant 1979; 8: 978 - 980.
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: What about the first patient? • T
Page 11 and 12: Conclusions of the initial study (2
Page 13 and 14: Constant Site Puncture Method in th
Page 15 and 16: Home Hemodialysis Patients in the l
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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