Journal of Vascular Access最新文献

{"title":"Rare complications of micropuncture vascular access in the ICU.","authors":"Kentaro Okamoto, Chase Donaldson, Dale Marsh","doi":"10.1177/11297298251324718","DOIUrl":"10.1177/11297298251324718","url":null,"abstract":"<p><p>Micropuncture vascular access is increasingly being used in the intensive care unit (ICU) due to its perceived reduction of bleeding complications in common ICU procedures. The authors report two rare complications associated with micropuncture kit use associated with vascular access. The first case involved a fracture of the micropuncture wire with a remnant retained in the blood vessel. The second case involved the formation of a knot within the flexible tip of the micropuncture wire in the subcutaneous tissue. The unique design of the flexible tipped 0.018-inch guide wire may be prone to unique complications for which an understanding of the proper technique for its use is necessary to prevent these complications.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251324718"},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of radial artery pseudoaneurysm using covered stent implantation via distal radial access.","authors":"Stanislav Sapozhnikov, Ivan Bessonov","doi":"10.1177/11297298251325303","DOIUrl":"https://doi.org/10.1177/11297298251325303","url":null,"abstract":"<p><p>Radial artery pseudoaneurysm (RAP) is a rare but significant complication of transradial catheterization. While conservative management has traditionally been favored, there is growing interest in minimally invasive techniques for treating RAP, particularly in patients on anticoagulant therapy, which complicates both conservative and surgical approaches. This article presents a case demonstrating the use of covered stent via distal radial access (DRA) for treating RAP. The case involved a 56-year-old male with a history of anticoagulation and prior RAP treated surgically, who presented with a new RAP 5 months after coronary angiography. The patient was successfully treated with covered stent implantation via DRA, leading to complete thrombosis of the RAP without compromising radial artery flow.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251325303"},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective study of vacuum aspiration mechanical thrombectomy device in the treatment of arteriovenous fistula thrombosis and patient is on hemodialysis.","authors":"Glauber Lutterbach de Oliveira Pires, Ana Claudia Teixeira Moreira Lutterbach, Marco Antônio Cassiano Perez Rivera, Douglas Cavalcanti, João Paulo Ayub, Fernanda Appolonio, Esdras Marques Lins","doi":"10.1177/11297298251326979","DOIUrl":"https://doi.org/10.1177/11297298251326979","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the use of the device of mechanical thrombectomy aspiration in the salvage of the fistula for hemodialysis access (HD) with acute thrombosis.</p><p><strong>Method: </strong>The study model used was a retrospective cohort in which 35 patients, who underwent 44 percutaneus thrombectomy in a tertiary hospital between October 2018 and March 2020, were evaluated. The surgical time of the thrombectomy, the technical success (TS) and the clinical success (CS) were evaluated, as well as the occurrence of surgical complications. Additional adjunct therapy, such balloon angioplasty or thrombolytic therapy when performed was not evaluated.</p><p><strong>Results: </strong>Among the 35 evaluated patients, 24 (66.8%) were male. In 33 of these cases (75%), the fistula used an autologous vein (AV fistula). The average thrombectomy time was 20.2 min and median was 15 min, with a difference between the AV fistula and synthetic graft (Graft) (<i>p</i> = 0.001), being shorter in the Graft. The TS rate was of 86.4% and the CS rate was of 84.1% with no statistical difference between the groups. The rate of surgical complications was of 13.6%. Blood loss in most cases ranged from 100 to 300 ml in the majority of the cases.</p><p><strong>Conclusion: </strong>The Device showed a short operation time in its use, a high rate of technical success and clinical success, as well as a similar rate of immediate surgical complications found in the literature.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251326979"},"PeriodicalIF":1.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case of hemorrhage from spontaneous disconnection of super-HeRO adapter and early-cannulation graft: A case report.","authors":"Amika A Ekanem, Akachukwu N Eze, Anthony N Eze, Christina L Cui, Young Kim, Kevin W Southerland","doi":"10.1177/11297298251326970","DOIUrl":"https://doi.org/10.1177/11297298251326970","url":null,"abstract":"<p><p>To overcome the limitations of central venous occlusion or stenosis (CVO) in complex chronic hemodialysis patients, the Hemodialysis Reliable Outflow (HeRO) vascular access graft was created as an alternative means of vascular access that bypasses the CVO and provides an additional upper extremity access option. The super-HeRO adapter was created to allow for the use of early cannulation grafts in the HeRO graft thereby enabling early cannulation and reducing tunneled dialysis catheter dependence time. Some complications have been previously reported for the traditional HeRO and the modified HeRO grafts. We report, a complication of spontaneous and delayed dehiscence/disconnection of the arterial graft from the venous outflow of a modified HeRO graft leading to massive hemorrhage. This complication has never been reported in literature. Our patient suffered this complication 4 weeks after implantation without any known inciting events. While it is unclear why this complication occurred, we must consider potential factors such as technical error of securing the arterial graft to the super-HeRO adapter coupler. Management involved immediate graft ligation given that the patient was in extremis upon presentation. Although deviations from instructions for use (IFU) are common in vascular surgery, particularly in endovascular cases for dialysis access, peripheral arterial disease, and aortic aneurysms, we recommend strict adherence to IFU for HeRO graft placement. Although rare, the sequalae of coupler dehiscence can be catastrophic and even fatal. Despite this complication, modification of the HeRO graft with the super-HeRO adapter remains a safe and feasible approach for establishing upper extremity dialysis access in complex ESRD patients with central venous pathology; we strongly caution that these cases should be performed in strict adherence with IFU using a 6 mm graft and the support seal system.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251326970"},"PeriodicalIF":1.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laser-assisted coagulation in femoral angiography.","authors":"Mohaddeseh Behjati, Ali Asghar Basiry, Reza Fekrazad, Alma Naseri, Shayan Mirshafiee","doi":"10.1177/11297298251327710","DOIUrl":"https://doi.org/10.1177/11297298251327710","url":null,"abstract":"","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251327710"},"PeriodicalIF":1.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The importance of echo guided tip navigation before \"bubble test\" tip location during PICC placement.","authors":"Stefano Elli, Antonio Gidaro, Marco Giani","doi":"10.1177/11297298251324743","DOIUrl":"https://doi.org/10.1177/11297298251324743","url":null,"abstract":"","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251324743"},"PeriodicalIF":1.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy, safety, and complications of manta vascular closure device in VA-ECMO decannulation: A systematic review and meta-analysis.","authors":"Joana Nunes-Carvalho, Eduardo Silva, Paolo Spath, Leonardo Araújo-Andrade, Nicola Troisi, João Rocha Neves","doi":"10.1177/11297298251325391","DOIUrl":"https://doi.org/10.1177/11297298251325391","url":null,"abstract":"<p><strong>Background: </strong>VenoArterial (VA)-ExtraCorporeal Membrane Oxygenation (ECMO) decannulation was traditionally performed surgically, often resulting in high rates of periprocedural complications such as surgical site infections, bleeding, and elevated patient mobilization costs. The advent of percutaneous techniques, particularly the MANTA^® vascular closure device (MVCD), has significantly reduced these risks by enabling faster and safer decannulation. This study aimed to systematically review the success rates and complications associated with the use of percutaneous closure devices for VA-ECMO decannulation.</p><p><strong>Objective: </strong>Therefore, this systematic review with meta-analysis aims to evaluate the success rates and complications associated with the use of MVCD device for VA-ECMO decannulation.</p><p><strong>Materials and methods: </strong>A systematic search was conducted across Pubmed, Web of Science, and Cochrane databases to identify studies evaluating postoperative outcomes in patients undergoing VA-ECMO decannulation using the MANTA^® vascular closure device. The MANTA^® efficacy, incidence of emergent open repair, arterial thrombosis, acute limb ischemia, pseudoaneurysms, and major bleeding were pooled by fixed-effects meta-analysis, with sources of heterogeneity being explored by meta-regression. Assessment of studies' quality was performed using the National Heart, Lung, and Blood Institute (NHLBI) Study Quality Assessment Tool for observational cohorts and case-series studies.</p><p><strong>Results: </strong>Seven observational studies with 235 patients were included in the final analysis. Overall efficacy of MVCD in VA-ECMO decannulation was 94.8% (95% CI 91.8%-97.9%). In 235 patients, the incidence of emergency open repair after MVCD failure was 3.7% (95% CI 1.3%-6.1%), the incidence of arterial thrombosis was 7.1% (95% CI 2.9%-11.3%), the incidence of pseudoaneurysms was 3.2% (95% CI 0.9%-5.5%), the incidence of acute limb ischemia was 5.0% (95% CI 2.3%-7.8%), and the incidence of major arterial bleeding was 4.1% (95% CI 1.6%-6.7%).</p><p><strong>Conclusion: </strong>This systematic review and meta-analysis highlights the safety and efficacy of the MANTA^® vascular closure device in achieving hemostasis following VA-ECMO decannulation, demonstrating an acceptable success rate and a low incidence of major complications. Further studies with larger cohorts are necessary to validate these findings and to address the limitations of this preliminary experience.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251325391"},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous access to the right atrium through the site of superior vena cava occlusion to re-catheterization for a maintenance hemodialysis patient with central venous obstruction.","authors":"Ling Li, Yan Wang, Chengqiong Liu, Jianqiang Liu, Tianlei Cui","doi":"10.1177/11297298251326305","DOIUrl":"https://doi.org/10.1177/11297298251326305","url":null,"abstract":"<p><p>Central venous catheters are commonly used for hemodialysis, but prolonged use can lead to complications such as central venous occlusion, resulting in catheter-dependent dialysis patients being unable to undergo dialysis. Herein, we present the case of a 57-year-old female patient who had been dependent on catheter-based hemodialysis for 8 years. Her tunneled central venous catheter (TCC) had been replaced three times and she had developed severe central venous occlusion. For this patient, a procedure was performed involving a percutaneous puncture through the site of superior vena cava occlusion to gain access to the right atrium. The intervention utilized multiple surgical instruments, including a transseptal needle in combination with the stiffening cannula from the RUPS-100 Suite, to facilitate re-catheterization for maintenance hemodialysis. We discuss the feasibility of such procedures as a last-resort option while emphasizing the associated risks.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251326305"},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor on \"Endovascular management of central venous catheter induced superior vena cava syndrome\".","authors":"Yi Deng, Wei Cui, Jing Li","doi":"10.1177/11297298251326327","DOIUrl":"https://doi.org/10.1177/11297298251326327","url":null,"abstract":"","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251326327"},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Outcomes of balloon-assisted maturation with large-diameter balloons\".","authors":"Leonardo de Oliveira Harduin, Julia Bandeira Guerra, Carlos Eduardo Virgini-Magalhães, Felipe Silva da Costa, Brunno Ribeiro Vieira, Renata Silveira Mello, Marcio Gomes Filippo, Thiago Almeida Barroso, Jorge Paulo Strogoff de Mattos, Rossano Kepler Alvim Fiorelli","doi":"10.1177/11297298251326318","DOIUrl":"https://doi.org/10.1177/11297298251326318","url":null,"abstract":"","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251326318"},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}