Same-day multiple-cannulation: A promising alternative method for establishing buttonhole tracks in hemodialysis patients—A multicenter randomized controlled trial
Mette Axelsen, Nanna Lagoni, Sandie Vandborg, Helle Hansen, Bibi GramAim:
This study evaluated a novel same-day cannulation method for creating buttonhole tracks in arteriovenous fistulas of chronic hemodialysis patients.
Method:
Patients were randomized: the control (C) group had one sharp needle cannulation per dialysis, while the intervention (I) group had 4–6 cannulations during the first session to establish the BH track. The primary outcome was 1-year BH survival. Secondary outcomes included pain scores (numeric rating scale); sessions needed to create a BH track, and 1-year AV fistula failure and BH infection rates.
Results:
BH survival and infection rates did not significantly differ between groups. The I-group had lower pain scores and required fewer sessions for track formation compared to the C-group.
Conclusion:
While the same-day cannulation method did not impact BH survival or infection rates, it improved patient comfort and reduced track formation time, potentially simplifying care for chronic hemodialysis patients.
Trial registration:
Clinical Trials.gov ID: NCT03989141.