A simple tourniquet technique for bleeding control after percutaneous hemodialysis fistula and graft interventions
Abstract Background The purse-string suture has been widely used for bleeding control after percutaneous interventions through arteriovenous fistula (AVF) and graft (AVG), and it requires suture removal the next day. This study aimed to introduce a simple method using a tourniquet to facilitate hemo...
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doaj-ceef7af2a6204422afb37abe011966eb2020-11-25T02:59:21ZengBMCBMC Nephrology1471-23692020-03-012111510.1186/s12882-020-01784-yA simple tourniquet technique for bleeding control after percutaneous hemodialysis fistula and graft interventionsQiquan Lai0Hui Zhang1Bo Chen2Xuejing Gao3Ling Chen4Bo Tu5Baifei Li6Bo Hu7Fan He8Yong Xu9Ziming Wan10Department of Nephrology, The First Affiliated Hospital of Chongqing Medical UniversityMedical Department, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Ultrasonography, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Nephrology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Nephrology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Ultrasonography, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Nephrology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Nephrology, The First Affiliated Hospital of Jinan UniversityDepartment of Nephrology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Nephrology, The Third Xiangya Hospital of Central South UniversityDepartment of Nephrology, The First Affiliated Hospital of Chongqing Medical UniversityAbstract Background The purse-string suture has been widely used for bleeding control after percutaneous interventions through arteriovenous fistula (AVF) and graft (AVG), and it requires suture removal the next day. This study aimed to introduce a simple method using a tourniquet to facilitate hemostasis following AVF or AVG sheath removal after percutaneous procedures. Methods Data were retrospectively collected and included all the consecutive patients who received bleeding control with a tourniquet after percutaneous AVF or AVG interventions. Hemostasis was facilitated using the tourniquet technique after sheath removal. Results A total of 1966 patients who received the tourniquet technique for bleeding control after percutaneous AVF or AVG interventions were included. Bleeding control was successfully achieved in all patients. Regarding complications, hematoma, thrombosis, and rebleeding occurred in 57 (2.9%), 11 (0.6%), and 8 (0.4%) patients, respectively. Neither pseudoaneurysm nor infection occurred in the patients. Age, gender, pre-existing diseases (including diabetes and hypertension), procedure count, sheath size, hemodialysis access type, and canalization route were similar between patients with and without complications. The primary patency rates at 6,12, 24, and 36 months were 85.0, 64.6, 53.8, and 41.6%, respectively. Conclusions The tourniquet technique is an effective and safe approach for facilitating hemostasis after catheter-based percutaneous interventions of hemodialysis accesses.http://link.springer.com/article/10.1186/s12882-020-01784-yPercutaneous interventionHemostasisTourniquet |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Qiquan Lai Hui Zhang Bo Chen Xuejing Gao Ling Chen Bo Tu Baifei Li Bo Hu Fan He Yong Xu Ziming Wan |
spellingShingle |
Qiquan Lai Hui Zhang Bo Chen Xuejing Gao Ling Chen Bo Tu Baifei Li Bo Hu Fan He Yong Xu Ziming Wan A simple tourniquet technique for bleeding control after percutaneous hemodialysis fistula and graft interventions BMC Nephrology Percutaneous intervention Hemostasis Tourniquet |
author_facet |
Qiquan Lai Hui Zhang Bo Chen Xuejing Gao Ling Chen Bo Tu Baifei Li Bo Hu Fan He Yong Xu Ziming Wan |
author_sort |
Qiquan Lai |
title |
A simple tourniquet technique for bleeding control after percutaneous hemodialysis fistula and graft interventions |
title_short |
A simple tourniquet technique for bleeding control after percutaneous hemodialysis fistula and graft interventions |
title_full |
A simple tourniquet technique for bleeding control after percutaneous hemodialysis fistula and graft interventions |
title_fullStr |
A simple tourniquet technique for bleeding control after percutaneous hemodialysis fistula and graft interventions |
title_full_unstemmed |
A simple tourniquet technique for bleeding control after percutaneous hemodialysis fistula and graft interventions |
title_sort |
simple tourniquet technique for bleeding control after percutaneous hemodialysis fistula and graft interventions |
publisher |
BMC |
series |
BMC Nephrology |
issn |
1471-2369 |
publishDate |
2020-03-01 |
description |
Abstract Background The purse-string suture has been widely used for bleeding control after percutaneous interventions through arteriovenous fistula (AVF) and graft (AVG), and it requires suture removal the next day. This study aimed to introduce a simple method using a tourniquet to facilitate hemostasis following AVF or AVG sheath removal after percutaneous procedures. Methods Data were retrospectively collected and included all the consecutive patients who received bleeding control with a tourniquet after percutaneous AVF or AVG interventions. Hemostasis was facilitated using the tourniquet technique after sheath removal. Results A total of 1966 patients who received the tourniquet technique for bleeding control after percutaneous AVF or AVG interventions were included. Bleeding control was successfully achieved in all patients. Regarding complications, hematoma, thrombosis, and rebleeding occurred in 57 (2.9%), 11 (0.6%), and 8 (0.4%) patients, respectively. Neither pseudoaneurysm nor infection occurred in the patients. Age, gender, pre-existing diseases (including diabetes and hypertension), procedure count, sheath size, hemodialysis access type, and canalization route were similar between patients with and without complications. The primary patency rates at 6,12, 24, and 36 months were 85.0, 64.6, 53.8, and 41.6%, respectively. Conclusions The tourniquet technique is an effective and safe approach for facilitating hemostasis after catheter-based percutaneous interventions of hemodialysis accesses. |
topic |
Percutaneous intervention Hemostasis Tourniquet |
url |
http://link.springer.com/article/10.1186/s12882-020-01784-y |
work_keys_str_mv |
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