Complications of the Buttonhole Technique
Complications of the Buttonhole Technique
Complications of the Buttonhole Technique
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Well-Developed AVF Walls“Trampoline Effect”Difficulty getting <strong>the</strong> bluntneedles into <strong>the</strong> fistula –Why?1. Thick-walled fistulas2. Blunt needles werenot pointed enoughSEMI BLUNTAvailable needlestypical AVF vs. thick-walled AVF(Dr. Twardowski personal correspondence, 2006; Milburn et al, n.d.)