The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review

Haihui Yin; Caiping Zhou; Haiyan Yu; Wei Ren

doi:doi:10.11648/j.ajns.20211003.19

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The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review

Haihui Yin, Caiping Zhou, Haiyan Yu, Wei Ren

Published in American Journal of Nursing Science (Volume 10, Issue 3)

Received: 5 April 2020 Accepted: 24 June 2021 Published: 29 June 2021

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Abstract

Arteriovenous fistula (AVF) is a “life-line” for hemodialysis patients. Complications associated with AVF cannulation including the occurrence of vessel stenosis and formation of false aneurysms can substantially shorten the length of AVF survival and its utilization. To minimize the damages to vessel walls of AVF, various needling techniques involving the utilization of sharp or blunt needles, and rotating puncture sites are applied in clinical practice. The buttonhole cannulation (BHC) method appears to be a successful technique to solve the problem of puncturing difficult AVFs. However, it is controversial whether BHC should be extended widely to actual practice to generate further beneficial effects or be restricted in clinical use due to a higher risk of adverse AVF complications. This review reports and elaborates on the methods used to create BHC tunnels, the effects of BHC on patient outcomes compared with other cannulation techniques with regard to both objective and subjective aspects, the advantages and disadvantages of BHC, and the measures for improving BHC. According to the published literature, utilizing BHC for AVF cannulation can effectively prevent the complications associated with AVF, while formulating and implementing the standardized BHC procedure, together with comprehensive staff training and self-management education for patients, can substantially reduce the risk of infection. Future studies with rigorous design need to investigate the long-term effects and strengthen the existing evidence regarding the utilization of BHC.

Published in	American Journal of Nursing Science (Volume 10, Issue 3)
DOI	10.11648/j.ajns.20211003.19
Page(s)	185-190
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Button-hole Technique (BHC), Arteriovenous Fistula (AVF), Complications, Hemodialysis

References

[1]	NKF-KDOQI. Clinical practice guidelines for vascular access: update July 2006. Am J Kidney Dis, 2006, 48 (Suppl 1): S187-S277.
[2]	Glerup R, Svensson M, Jensen JD, et al. Staphylococcus aureus bacteremia risk in hemodialysis patients using the buttonhole cannualtion technique: a prospective multicenter study. Kidney Med, 2019, 1 (5): 263-270.
[3]	Lyman M, Nguyen DB, Shugart A, et al. Risk of vascular access infection associated with buttonhole cannulation of fistulas: data from the National Healthcare Safety Network. Am J Kidney Dis, 2020, 76 (1): 82-89.
[4]	Morgans HA, De Souza HG, Richardson T, et al. A comparison of the buttonhole and rope-ladder AVF cannulation techniques and infection rates within the SCOPE collaborative. Pediatr Nephrol, 2021 Jun 11. doi: 10.1007/s00467-021-05137-1.
[5]	Zhao HZ, Huang HP, Fang SY, et al. Application of blunt needle buttonhole technique in arteriovenous fistula puncture for patients underwent hemodialysis [in Chinese]. Nurs J Chin PLA, 2016, 33 (8): 65-67.
[6]	Twardowski Z, Kubara H. Different sites versus constant sites of needle insertion into arteriovenous fistula for treatment by repeated hemodialysis. Dial Transplant, 1979, 8 (10): 978-980.
[7]	Kronung G. Plastic deformation of Cimino fistula by repeated puncture. Dial Transplant, 1984, 13 (10): 635-638.
[8]	Ball LK. The buttonhole technique for arteriovenous fistula cannulation. Nephrol Nurs J, 2006, 33 (3): 299-304.
[9]	Wang WJ, Wu YC, Ying YJ, et al. The impacts of puncture methods on arteriovenous fistula for hemodialysis [in Chinese]. Chin J Nurs, 2009, 44 (2): 180-181.
[10]	Wang WJ, Ying YJ, Wu CY, et al. Effects of using blunt needles for buttonhole cannulation on arteriovenous fistula complications for hemodialysis patients [in Chinese]. Chin Pract J Nurs, 2010, 26 (9B): 26-27.
[11]	Ma LL, Mei XR, Wang LP, et al. Application and management of buttonhole puncture technique for hemodialysis patients with difficult arteriovenous fistula cannulation [in Chinese]. Chin Integ J of TCM & West Med, 2012, 13 (5): 442-443.
[12]	Hu MJ. Application and management for buttonhole technique for arteriovenous fistulae cannulation [in Chinese]. Chin Prim Med, 2012, 19 (1): 147-148.
[13]	Kumbar L. Complications of arteriovenous fistulae: beyond venous stenosis. Adv Chronic Kidney Dis, 2012, 19 (3): 195-201.
[14]	Ball LK. The buttonhole technique: strategies to reduce infections. Nephrol Nurs J, 2010, 37 (5): 473-478.
[15]	Castro MC, Silva Cde F, Souza JM, et al. Arteriovenous fistula cannulation by buttonhole technique using dull needle. J Bras Nefrol, 2010, 32 (3): 281-285.
[16]	Struthers J, Allan A, Peel RK, et al. Buttonhole needling of ateriovenous fistulae: a randomized controlled trial. ASAIO J, 2010, 56 (4): 319-322.
[17]	van Loon MM, Goovaerts T, Kessels AG, et al. Buttonhole needling of haemodialysis arteriovenous fistulae results in less complications and interventions compared to the rope-ladder technique. Nephrol Dial Transplant, 2010, 25 (1): 225-230.
[18]	Toma S, Shinzato T, Fukui H, et al. A timesaving method to create a fixed puncture route for the buttonhole technique. Nephrol Dial Transplant, 2003, 18 (10): 2118-2121.
[19]	King J. Implementing the buttonhole method using the Biohole peg in a busy dialysis unit: a report of the development of current practice. J Ren Care, 2009, 35 (4): 192-200.
[20]	Marticorena RM, Hunter J, Macleod S, et al. Use of the BioHole™ device for the creation of tunnel tracks for buttonhole cannulation of fistula for hemodialysis. Hemodial Int., 2011, 15 (2): 243-249.
[21]	Marticorena RM, Hunter J, Cook R, et al. A simple method to create buttonhole cannulation tracks in a busy hemodialysis unit. Hemodial Int, 2009, 13 (3): 316-321.
[22]	Marticorena RM, Hunter J, Macleod S, et al. The salvage of aneurysmal fistulae utilizing a modified buttonhole cannulation technique and multiple cannulators. Hemodial Int, 2006, 10 (2): 193-200.
[23]	Ludlow V. Buttonhole cannulation in hemodialysis: improved outcomes and increased expense--is it worth it? CANNT J, 2010, 20 (1): 29-37.
[24]	Hartig V, Smyth W. “Everyone should buttonhole”: a novel technique for a regional Australian renal service. J Ren Care, 2009, 35 (3): 114-119.
[25]	Chow J, Rayment G, San Miguel S, et al. A randomized controlled trial of buttonhole cannulation for the prevention of fistula access complications. J Ren Care, 2011, 37 (2): 85-93.
[26]	Verhallen AM, Kooistra MP, van Jaarsveld BC. Cannulating in haemodialysis: rope-ladder or buttonhole technique? Nephrol Dial Transplant, 2007, 22 (9): 2601-2604.
[27]	Doss S, Schiller B, Moran, J. Buttonhole cannulation-An unexpected outcome. Nephrol Nurs J, 2008, 35 (4), 417-419.
[28]	Nesrallah GE, Cuerden M, Wong JHS, et al. Staphylococcus aureus bacteremia and buttonhole cannulation: Long-term safety and efficacy of mupirocin prophylaxis. Clin J Am Soc Nephrol, 2010, 5 (6): 1047-1053.
[29]	Labriola L, Crott R, Desmet C, et al. Infectious complications following conversion to buttonhole cannulation of native arteriovenous fistulas: a quality improvement report. Am J Kidney Dis, 2011, 57 (3): 442-448.
[30]	Galante NZ, Rabelo LL, Yamamoto A, et al. One unit’s experiences when establishing buttonhole technique, analysis of reasons for failure of procedure: a report. J Ren Care, 2010, 36 (2): 73-80.
[31]	Ball LK, Mott, S. How do you prevent indented buttonhole sites? Nephrol Nurs J, 2010, 37 (4): 427-428, 431.
[32]	Birchenough E, Moore C, Stevens K, et al. Buttonhole cannulation in adult patients on hemodialysis: an increased risk of infection? Nephrol Nurs J, 2010, 37 (5): 491-498, 555.

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APA Style

Haihui Yin, Caiping Zhou, Haiyan Yu, Wei Ren. (2021). The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review. American Journal of Nursing Science, 10(3), 185-190. https://doi.org/10.11648/j.ajns.20211003.19

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ACS Style

Haihui Yin; Caiping Zhou; Haiyan Yu; Wei Ren. The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review. Am. J. Nurs. Sci. 2021, 10(3), 185-190. doi: 10.11648/j.ajns.20211003.19

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AMA Style

Haihui Yin, Caiping Zhou, Haiyan Yu, Wei Ren. The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review. Am J Nurs Sci. 2021;10(3):185-190. doi: 10.11648/j.ajns.20211003.19

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@article{10.11648/j.ajns.20211003.19,
  author = {Haihui Yin and Caiping Zhou and Haiyan Yu and Wei Ren},
  title = {The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {3},
  pages = {185-190},
  doi = {10.11648/j.ajns.20211003.19},
  url = {https://doi.org/10.11648/j.ajns.20211003.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211003.19},
  abstract = {Arteriovenous fistula (AVF) is a “life-line” for hemodialysis patients. Complications associated with AVF cannulation including the occurrence of vessel stenosis and formation of false aneurysms can substantially shorten the length of AVF survival and its utilization. To minimize the damages to vessel walls of AVF, various needling techniques involving the utilization of sharp or blunt needles, and rotating puncture sites are applied in clinical practice. The buttonhole cannulation (BHC) method appears to be a successful technique to solve the problem of puncturing difficult AVFs. However, it is controversial whether BHC should be extended widely to actual practice to generate further beneficial effects or be restricted in clinical use due to a higher risk of adverse AVF complications. This review reports and elaborates on the methods used to create BHC tunnels, the effects of BHC on patient outcomes compared with other cannulation techniques with regard to both objective and subjective aspects, the advantages and disadvantages of BHC, and the measures for improving BHC. According to the published literature, utilizing BHC for AVF cannulation can effectively prevent the complications associated with AVF, while formulating and implementing the standardized BHC procedure, together with comprehensive staff training and self-management education for patients, can substantially reduce the risk of infection. Future studies with rigorous design need to investigate the long-term effects and strengthen the existing evidence regarding the utilization of BHC.},
 year = {2021}
}

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TY  - JOUR
T1  - The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review
AU  - Haihui Yin
AU  - Caiping Zhou
AU  - Haiyan Yu
AU  - Wei Ren
Y1  - 2021/06/29
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211003.19
DO  - 10.11648/j.ajns.20211003.19
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 185
EP  - 190
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211003.19
AB  - Arteriovenous fistula (AVF) is a “life-line” for hemodialysis patients. Complications associated with AVF cannulation including the occurrence of vessel stenosis and formation of false aneurysms can substantially shorten the length of AVF survival and its utilization. To minimize the damages to vessel walls of AVF, various needling techniques involving the utilization of sharp or blunt needles, and rotating puncture sites are applied in clinical practice. The buttonhole cannulation (BHC) method appears to be a successful technique to solve the problem of puncturing difficult AVFs. However, it is controversial whether BHC should be extended widely to actual practice to generate further beneficial effects or be restricted in clinical use due to a higher risk of adverse AVF complications. This review reports and elaborates on the methods used to create BHC tunnels, the effects of BHC on patient outcomes compared with other cannulation techniques with regard to both objective and subjective aspects, the advantages and disadvantages of BHC, and the measures for improving BHC. According to the published literature, utilizing BHC for AVF cannulation can effectively prevent the complications associated with AVF, while formulating and implementing the standardized BHC procedure, together with comprehensive staff training and self-management education for patients, can substantially reduce the risk of infection. Future studies with rigorous design need to investigate the long-term effects and strengthen the existing evidence regarding the utilization of BHC.
VL  - 10
IS  - 3
ER  -

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Author Information

Haihui Yin

Blood Purification Center of the 1st Affiliated Hospital, University of Science and Technology of China, Hefei, P.R.China
Caiping Zhou

Blood Purification Center of the 1st Affiliated Hospital, University of Science and Technology of China, Hefei, P.R.China
Haiyan Yu

Blood Purification Center of the 1st Affiliated Hospital, University of Science and Technology of China, Hefei, P.R.China
Wei Ren

Department of Nephrology of the 1st Affiliated Hospital, University of Science and Technology of China, Hefei, P.R.China

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APA Style

Haihui Yin, Caiping Zhou, Haiyan Yu, Wei Ren. (2021). The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review. American Journal of Nursing Science, 10(3), 185-190. https://doi.org/10.11648/j.ajns.20211003.19

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ACS Style

Haihui Yin; Caiping Zhou; Haiyan Yu; Wei Ren. The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review. Am. J. Nurs. Sci. 2021, 10(3), 185-190. doi: 10.11648/j.ajns.20211003.19

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AMA Style

Haihui Yin, Caiping Zhou, Haiyan Yu, Wei Ren. The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review. Am J Nurs Sci. 2021;10(3):185-190. doi: 10.11648/j.ajns.20211003.19

Copy | Download

@article{10.11648/j.ajns.20211003.19,
  author = {Haihui Yin and Caiping Zhou and Haiyan Yu and Wei Ren},
  title = {The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {3},
  pages = {185-190},
  doi = {10.11648/j.ajns.20211003.19},
  url = {https://doi.org/10.11648/j.ajns.20211003.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211003.19},
  abstract = {Arteriovenous fistula (AVF) is a “life-line” for hemodialysis patients. Complications associated with AVF cannulation including the occurrence of vessel stenosis and formation of false aneurysms can substantially shorten the length of AVF survival and its utilization. To minimize the damages to vessel walls of AVF, various needling techniques involving the utilization of sharp or blunt needles, and rotating puncture sites are applied in clinical practice. The buttonhole cannulation (BHC) method appears to be a successful technique to solve the problem of puncturing difficult AVFs. However, it is controversial whether BHC should be extended widely to actual practice to generate further beneficial effects or be restricted in clinical use due to a higher risk of adverse AVF complications. This review reports and elaborates on the methods used to create BHC tunnels, the effects of BHC on patient outcomes compared with other cannulation techniques with regard to both objective and subjective aspects, the advantages and disadvantages of BHC, and the measures for improving BHC. According to the published literature, utilizing BHC for AVF cannulation can effectively prevent the complications associated with AVF, while formulating and implementing the standardized BHC procedure, together with comprehensive staff training and self-management education for patients, can substantially reduce the risk of infection. Future studies with rigorous design need to investigate the long-term effects and strengthen the existing evidence regarding the utilization of BHC.},
 year = {2021}
}

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TY  - JOUR
T1  - The Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review
AU  - Haihui Yin
AU  - Caiping Zhou
AU  - Haiyan Yu
AU  - Wei Ren
Y1  - 2021/06/29
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211003.19
DO  - 10.11648/j.ajns.20211003.19
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 185
EP  - 190
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211003.19
AB  - Arteriovenous fistula (AVF) is a “life-line” for hemodialysis patients. Complications associated with AVF cannulation including the occurrence of vessel stenosis and formation of false aneurysms can substantially shorten the length of AVF survival and its utilization. To minimize the damages to vessel walls of AVF, various needling techniques involving the utilization of sharp or blunt needles, and rotating puncture sites are applied in clinical practice. The buttonhole cannulation (BHC) method appears to be a successful technique to solve the problem of puncturing difficult AVFs. However, it is controversial whether BHC should be extended widely to actual practice to generate further beneficial effects or be restricted in clinical use due to a higher risk of adverse AVF complications. This review reports and elaborates on the methods used to create BHC tunnels, the effects of BHC on patient outcomes compared with other cannulation techniques with regard to both objective and subjective aspects, the advantages and disadvantages of BHC, and the measures for improving BHC. According to the published literature, utilizing BHC for AVF cannulation can effectively prevent the complications associated with AVF, while formulating and implementing the standardized BHC procedure, together with comprehensive staff training and self-management education for patients, can substantially reduce the risk of infection. Future studies with rigorous design need to investigate the long-term effects and strengthen the existing evidence regarding the utilization of BHC.
VL  - 10
IS  - 3
ER  -

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