Journal of Vascular Access最新文献

{"title":"The impact of multidisciplinary vascular access team creation in incident dialysis patients: A retrospective case-control study.","authors":"Rafael Figueiredo, Miguel Relvas, Hugo Diniz, Joana Ferreira, Jorge Costa Lima, Armando Mansilha, Manuel Pestana, Luís Coentrão","doi":"10.1177/11297298251344069","DOIUrl":"https://doi.org/10.1177/11297298251344069","url":null,"abstract":"<p><strong>Background: </strong>Autologous arteriovenous fistulae (AVF) are the vascular access (VA) of choice for most hemodialysis (HD) patients. Creating multidisciplinary VA teams (MDT) may improve access-related outcomes and patient survival. This study aims to evaluate our center's MDT impact on matured AVFs.</p><p><strong>Methods: </strong>A retrospective case-control analysis was performed, comparing our center's incident HD patients from years 2022 and 2019. An MDT was created in 2021. Patient data was collected from their electronic health record. The primary outcome was the VA typology used for HD initiation. Secondary outcomes were the prevalence of functioning AVFs 12 months after HD initiation and 24-month patient mortality. Clinical predictors of mortality were derived from a combined-year Cox proportional hazard regression model.</p><p><strong>Results: </strong>One hundred and sixty-nine and 184 incident HD patients were included from 2022 and 2019, respectively. There were no significant differences regarding demographic variables, comorbidities, prior nephrology and VA appointments, patients with VA constructed, and the number of non-programmed HD initiations. The number of patients starting HD with a matured AVF was higher in 2022 (50.9% vs 37.5%, <i>p</i> = 0.011), regardless of demographic variables and comorbidities. The number of functioning AVFs at the 12th month of HD was also greater in 2022 (85.2% vs 76.6%, <i>p</i> = 0.041). The cumulative number of AV interventions until 12 months post-HD was similar between years, with fewer AV construction surgeries in 2022 (<i>p</i> < 0.001). Primary patency (<i>p</i> = 0.020) and secondary patency (<i>p</i> < 0.001) were higher in 2022. The 24-month cumulative mortality was lower in 2022 (17.8% vs 27.2%, <i>p</i> = 0.041), with no significant differences regarding the categorized cause of death. In our combined-cohort multivariable analysis, previous myocardial infarction (HR 1.86, <i>p</i> = 0.034) and dementia (HR 2.61, <i>p</i> = 0.016) were predictors of 24-month mortality. VA construction (HR 0.36, <i>p</i> = 0.013) was a negative predictor.</p><p><strong>Conclusion: </strong>In our center, the MDT creation was associated with a significantly increased number of matured AVFs at HD initiation and after 12 months of HD. Twenty-four-month patient mortality was lower post-MDT creation.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251344069"},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188572","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":"Iatrogenic vertebro-jugular fistula: Case report.","authors":"Aravindhmozhi P, Charankumar Swamikkannu, Kalpana Sivalingam, Mohanraj Periyasamy, Rinesh Kochummen, Sakthirajan Ramanathan, Natarajan Gopalakrishnan","doi":"10.1177/11297298251342296","DOIUrl":"https://doi.org/10.1177/11297298251342296","url":null,"abstract":"<p><p>Internal jugular vein (IJV) cannulation is one of the most commonly used procedure in intensive care units and hemodialysis setting. With ultrasound-guided cannulations, the incidence of complications has significantly decreased. We report a patient who developed vertebro-jugular fistula post internal jugular vein cannulation and was successfully treated with a stent graft placed using an endovascular technique. In the literature, very few similar cases have been reported so far.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251342296"},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188570","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":"Port REMoval Outcomes (PREMO) study: Patients' experiences with a Totally Implantable Venous Access Device: A questionnaire at device removal.","authors":"Godelieve Alice Goossens, Thomas Douchy, Martine Jérôme, Yorick Peeters, Daphne Hompes, Veerle Boecxstaens","doi":"10.1177/11297298251340461","DOIUrl":"https://doi.org/10.1177/11297298251340461","url":null,"abstract":"<p><strong>Background: </strong>Totally Implantable Venous Access Devices (TIVADs) are commonly used for intravenous chemotherapy administration and may remain in place depending on the likelihood of disease relapse. Regular flushing is required to maintain patency, although there is no established consensus on the optimal interval between maintenance sessions, with some clinicians extending or omitting the procedure. While TIVADs are generally well-accepted, patients may experience physical discomfort or psychological stress, which are assessed through Patient Reported Outcomes (PROs). This study aims to evaluate the complete TIVAD experience, from insertion to removal, with a particular focus on the maintenance period, as part of the Port REMoval Outcomes (PREMO) study.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted at University Hospitals Leuven, Belgium between 2019 and 2022. Adult patients with chest TIVADs, planned for an elective removal, completed the Leuven Patient Reported Experiences at Port Removal (Leuven PREP) a self-reported, self-developed 27-item questionnaire.</p><p><strong>Results: </strong>A total of 100 oncology patients completed the questionnaire, with a mean age of 60.9 years and a median TIVAD duration of 2093 days. Most patients reported low insertion pain (median NRS score = 2), while emotional and psychological impacts were generally minimal, with only 1% expressing constant fear. Local discomfort was mentioned, with 24.5% reporting a bump and 12% experiencing pain during needle insertion; 10% experienced frequent cosmetic issues. TIVAD maintenance adherence was limited to 70.7% following the flushing regimen, and 61.2% found extending the maintenance period valuable. The removal procedure was well-received, with 60.2% reporting it was better than expected, and overall patient satisfaction was high, with a median score of 8/10.</p><p><strong>Conclusion: </strong>Patients expressed high satisfaction with low impact on comfort, psychological state and physical well-being. Maintenance experiences varied, highlighting the need for further investigation and a validated comprehensive questionnaire.</p><p><strong>Registration number: </strong>NCT03948958.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251340461"},"PeriodicalIF":1.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153014","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":"Arteriovenous fistula after distal transradial access: A case report and literature review.","authors":"Xinyu Fan, Tao Chen, Feng Li, Ganwei Shi, Ruixiao Song, Gaojun Cai","doi":"10.1177/11297298251342303","DOIUrl":"https://doi.org/10.1177/11297298251342303","url":null,"abstract":"<p><strong>Background: </strong>Distal transradial access (dTRA) has received extensive attention and has gradually become an alternative access for cardiac interventions. However, with the widespread use of dTRA, access complications such as distal radial artery occlusion (dRAO), haematoma, pseudoaneurysm and arteriovenous fistula (AVF) have been reported. In this study, we report a case of AVF after dTRA and review the related literature.</p><p><strong>Case report: </strong>A 54-year-old female, who underwent percutaneous coronary intervention (PCI) 2 years ago, was admitted to the hospital with discomfort in her thumb. On admission, a mass was found at the puncture site, and ultrasound revealed a fistula between the distal radial artery (DRA) and the cephalic vein (CV). The patient was treated with manual compression for 2 h. Three months later, the mass was smaller than before, the symptoms had resolved and the fistula was found to have closed on repeat ultrasound.</p><p><strong>Conclusion: </strong>Understanding the mechanisms underlying the occurrence of AVF and the principles guiding the treatment of the potential risks associated with AVF after dTRA is important and allows for the effective prevention of AVF and accurate prognostic prediction.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251342303"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120151","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":"Evaluating needle-free connectors associated backflow in Midline and peripherally inserted central catheters: A top bench study.","authors":"Daniele Privitera, Davide Giustivi, Elisa Nardin, Enrico Gianfranceschi, Stefania Fiorini, Elisabetta Fiorina, Silvia Revere, Nicolò Capsoni","doi":"10.1177/11297298251340469","DOIUrl":"https://doi.org/10.1177/11297298251340469","url":null,"abstract":"<p><strong>Background: </strong>Needle-free connectors (NFCs) are closure systems for vascular catheters largely used because effectively reduce needlestick incidents. They are classified based on their impact on the fluid column within the catheter as <i>positive</i> (fluid displacement into the vein), <i>negative</i> (fluid displacement back from the vein into the catheter), <i>neutral</i> (minimal displacement), or <i>anti-reflux</i> (equipped with additional anti-reflux valve). Each category has specific usage and clamping procedures. This study aimed to evaluate the backflow volume (BV) when different NFC categories and clamping sequences are used with a peripherally inserted central catheter (PICC) and a Midline catheter (MC).</p><p><strong>Methods: </strong>In this bench study, four types of NFCs with different flow displacement behavior were studied. Each NFC was evaluated using two different catheters: a 4 Fr × 60 cm single-lumen catheter (PICC), and a 4 Fr × 25 cm single-lumen catheter (MC). The experimental model simulated the physiological blood pressure of the superior vena cava. Three operators performed specific sealing sequences for each combination of NFC and catheter. After that, the BV (mm³) inside the catheter for every NFC was assessed.</p><p><strong>Results: </strong>None of the four NFCs was able to avoid the BV into the catheter. Positive NFC showed a lower BV as compared to the other three NFCs when tested with PICC: 0.83 [0.76-0.95] mm³ versus 1.14 [0.95-1.53] mm³ of Q-SYTE, versus 1.27 [1.02-1.59] mm³ of Neutron, versus 1.24 [0.95-1.84] mm³ of Bionector, whereas no differences were observed when tested with Midline. No differences were observed between different clamping sequences when used with <i>neutral</i> and <i>anti-reflux</i> NFCs.</p><p><strong>Conclusion: </strong>This study examined the performance of various NFC technologies with PICC and Midline. While no device eliminates BV, positive displacement NFCs showed lower flow reflux compared to the others when used with PICC. No difference between clamping sequences was observed for <i>neutral</i> and <i>anti-reflux</i> NFCs.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251340469"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120371","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 revascularization of chronically occluded brachial artery with an old-long-segment thrombus by using Fogarty adherent clot catheter and ultrasound guidance.","authors":"Xi Zhang, Sifeng Huang, Ling Chen, Xuejing Gao, Qiquan Lai, Bo Tu, Ziming Wan","doi":"10.1177/11297298251342294","DOIUrl":"https://doi.org/10.1177/11297298251342294","url":null,"abstract":"<p><p>Arterial old-long-segment thrombus is a difficult-to-handle complication in brachio-cephalic fistula, leading to totally chronic occlusion, fistula dysfunction, and potential upper limb ischemia. This case study presented the successful clinical experience of using Fogarty adherent clot catheter to remove an old-long-segment thrombus (15 cm) in the brachial artery, which was guided by ultrasound. The procedure resulted in long-term patency of the arteriovenous fistula with no early or delayed complications. This study highlighted the effectiveness, safety, and practicality of this procedure, offering the advantages of brachial artery revascularization to prevent further ischemic complications, preserve valuable vascular access, and maintain full functionality, minimal trauma, and reduced radiation exposure.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251342294"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121647","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":"Ultrasound-guided Femoseal^® vascular closure device in antegrade common femoral artery puncture.","authors":"Fabio Massimo Oddi, Mauro Fresilli, Federico Francisco Pennetta, Rosario Micali, Andrea Ascoli Marchetti, Arnaldo Ippoliti","doi":"10.1177/11297298251342871","DOIUrl":"https://doi.org/10.1177/11297298251342871","url":null,"abstract":"<p><strong>Aim: </strong>To retrospectively review the efficacy and safety of ultrasound-guided Femoseal vascular closure device in antegrade common femoral artery puncture after peripheral arteries revascularization.</p><p><strong>Methods: </strong>We reviewed the hemostatic outcome achieved with DUS guided FemoSeal in patients undergoing antegrade common femoral artery accesses for percutaneous lower limbs revascularization using 6- to 8-Fr vascular sheaths. Exclusion criteria were known bleeding or coagulation disorder, previous femoral artery punctures within 1 month and/or previous common femoral artery vascular interventions. Primary endpoint was technical success. Secondary endpoints were access complications and need for reintervention.</p><p><strong>Results: </strong>A total of 301 patients (250 M; 51 F) were included in the study. Technical success was achieved in 99%. One pseudoaneurysm (0.3%) developed in the first post-operative day and was treated with Human Thrombin Injection. Two more pseudoaneurysms were found during follow-up at the first 1 month US scan. Two conversions to manual compression occurred.</p><p><strong>Conclusion: </strong>The use of ultrasound-guided FemoSeal VCD in antegrade CFA puncture demonstrated high technical success and a low complication rate. These findings suggest that it is a safe and effective option for achieving hemostasis in patients undergoing percutaneous lower limb revascularization. Further studies with larger cohorts and longer follow-up may help confirm these results and refine patient selection criteria.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251342871"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121352","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":"Short-term tunneling of centrally inserted central venous catheters without additional kits: A practical, safe, and emergency-applicable technique.","authors":"Stefano Benvenuti, Marta Gazzaneo, Cristian Pintossi, Gabriele Bartolini, Daniele Alberti","doi":"10.1177/11297298251342872","DOIUrl":"https://doi.org/10.1177/11297298251342872","url":null,"abstract":"<p><strong>Background: </strong>The placement of central venous catheter in the cervico-thoracic region (CICC) is often required in patients needing access to the bloodstream for medication administration or rapid volume replacement. However, the exit site of the catheter in the neck poses a high risk of infection, is uncomfortable for the patient, and is difficult for healthcare providers to manage. For centrally inserted central catheters (CICCs) designed for short-term use, tunneling to distance the exit site from the venipuncture site is not typically performed.</p><p><strong>Aim: </strong>The purpose of this article is to present a tunneling technique that allows the repositioning of the catheter exit site to the infraclavicular fossa using only the materials included in standard CICC kits.</p><p><strong>Methods: </strong>At the Vascular Access Unit of ASST Spedali Civili in Brescia, we developed a rapid tunneling technique for short-term CICCs that requires no additional materials beyond those in standard kits. This technique was applied to 250 patients requiring short-term central venous access, relocating the catheter exit site from the neck to the infraclavicular region.</p><p><strong>Results: </strong>In all 250 cases, the technique successfully relocated the catheter exit site to the infraclavicular region, providing a location that patients found more comfortable and that was easier for healthcare staff to manage.</p><p><strong>Conclusions: </strong>The proposed technique offers a valid alternative for the placement of short-term CICCs, even in critical or resource-limited settings where conventional tunneling equipment is unavailable. With proper precautions, this method can be implemented by any physician involved in device placement. Further investigation is needed to determine whether this procedure reduces catheter-related bloodstream infections (CRBSIs), though the technique's design suggests this may be a potential benefit.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251342872"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120706","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":"Puncture site versus exit site in central venous access procedures: Still a source of confusion.","authors":"Maria Giuseppina Annetta, Timothy R Spencer, Mauro Pittiruti","doi":"10.1177/11297298251338968","DOIUrl":"https://doi.org/10.1177/11297298251338968","url":null,"abstract":"<p><p>Two major innovations-ultrasound guidance and catheter tunneling-have transformed central venous catheterization, significantly reducing early and late complications. Ultrasound enables accurate vein selection based on anatomical and functional criteria, facilitates safer venipuncture, and broadens access to previously avoided veins (e.g. brachiocephalic, axillary). It also allows real-time guidance for wire direction, tip navigation, and the immediate diagnosis of complications. Tunneling, once exclusive to cuffed catheters, is now increasingly used for non-cuffed devices to optimize the exit site independently of the venipuncture site. This strategy reduces infection, thrombosis, and dislodgment risks by relocating exit from high-risk zones (e.g. groin, neck) to cleaner, more secure areas. Despite widespread adoption of these innovations, current guidelines often confuse puncture and exit sites, leading to outdated recommendations. For example, guidelines labeling femoral or jugular access as high-risk often fail to differentiate between venipuncture and exit locations. Ultrasound-guided femoral puncture with tunneling can yield low-thrombosis, low-infection configurations, especially with mid-thigh or abdominal exit sites. Similarly, supraclavicular puncture of the internal jugular vein with tunneling avoids the traditional high-neck exit and its associated complications. Recommendations promoting subclavian access are also problematic, as safe ultrasound access is often only feasible via supraclavicular routes, not by traditional blind infraclavicular approaches. The field must shift from old anatomical dogma to ultrasound-based, tunneled approaches tailored to each patients need. Clear distinction between venipuncture and exit sites is essential for modern, evidence-based vascular access practices.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251338968"},"PeriodicalIF":1.6,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036138","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 influence of combined regional anesthetic blockade, compared with local anesthesia, on hemodynamic parameters and pain criteria in patients receiving an arteriovenous fistula for hemodialysis.","authors":"Luiz Gustavo Madi Antonio, Kamilla Boute Anzai, Valter Luis Pereira, Edwaldo Edner Joviliano","doi":"10.1177/11297298251336800","DOIUrl":"https://doi.org/10.1177/11297298251336800","url":null,"abstract":"<p><strong>Background: </strong>In the creation of arteriovenous fistulas (AVF) for hemodialysis, regional brachial plexus block (BPB) has a sympatholytic effect, increasing blood flow and diameters in the vessels.</p><p><strong>Methods: </strong>A prospective, randomized, clinical-surgical pilot study was carried out, comprising 40 patients, randomly allocated into two groups (BPB or local anesthesia-LA). The diameter (veins and arteries), and the flow, peak systolic velocity (PSV), pulsatility index (PI), and pulsatility index ratio (PIR) of the arteries were evaluated before and after anesthesia. Flow was measured in the AVF at the end of the procedure and 30 days after. To analyze pain perception, the visual analog scale (VAS) was applied during anesthesia (T1), during surgery (T2), and at discharge (T3). All analyses were performed using R v. 4.3.1. A <i>p</i>-value <0.05 was considered statistically significant.</p><p><strong>Results: </strong>Comparing BPB with LA, in the pre- and post-anesthesia periods, there was an increase in the diameters of the cephalic and basilic veins (<i>p</i> < 0.001) and the ulnar artery (<i>p</i> < 0.001). There was a significant increase in the PSV of the radial and brachial (<i>p</i> < 0.001) and ulnar (<i>p</i> = 0.0017) arteries. There was an increase in flow in the radial, ulnar, and brachial arteries (<i>p</i> < 0.001). There was a significant decrease in the PI for the radial (<i>p</i> = 0.0022), ulnar and brachial (<i>p</i> < 0.001) arteries. The BPB group had a significant change in the PIR of the arteries (<i>p</i> < 0.001). Regarding pain perception, the BPB group presented a decrease at T2 (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>For this study, in the group that received BPB, there was an increase in the diameters of the arteries and veins as well as the flow and PSV of the arteries, and decreasing the PI, the PIR, and in the perception of intraoperative pain.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251336800"},"PeriodicalIF":1.6,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043375","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}