Impact of the Arteriovenous Fistula Puncture Technique On the Hemodialysis Session For Patient and Caregiver

Poissy-Saint Germain Hospital

Status: Unknown

Conditions: Arterio-venous Fistula, Puncture, Chronic Desease

Treatments: Device: pucture in the arteriovenous fistula

Study type: Interventional

Funder types: Other

Identifiers

NCT03355508

TECHFAVHEMO

Details and patient eligibility

About

40000 patients are hemodialysis each year in France .

In the case of chronic care, 78% of patients have an arteriovenous fistula. In order to perform the hemodialysis session, 2 techniques of puncture of the fistula are possible:

• Bevel puncture upwards then flipping the needle
• or puncture bevel down. At present, there is no consensus or study on the technique of puncture fistula which generates different professional practices.

Enrollment: 42 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient in chronic renal failure treated by hemodialysis with native arteriovenous fistula as a vascular approach.
• Adult of age and sex indifferent.
• Normal puncture of the fistula with two needles (bipuncture).
• Fistula use for more than 3 months.
• Beneficiary of Medicare or State Medical Aid.
• No opposition to participation in the study.

Exclusion criteria

• Patient who does not speak and does not understand French.
• Hemodialysis patient awaiting a transplant by a living donor.
• Patient with more than 2 AVF dilatations in the last 6 months.
• Patient with prosthetic arteriovenous fistula.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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42 participants in 2 patient groups

puncture bevel up

Other group

Treatment:

Device: pucture in the arteriovenous fistula

puncture bevel domn

Other group

Treatment:

Device: pucture in the arteriovenous fistula