Listen to papers. For clinicians working with dialysis access.

Randomized Controlled Study of Sirolimus-Coated Balloons for Dysfunctional Hemodialysis Fistulas

Chieh Suai Tan et al.

Kidney International Reports

Sirolimus-coated balloons improved 6-month patency by 13.4% versus placebo in dysfunctional hemodialysis fistulas. No deaths occurred within 30 days in either group. Benefit persisted at 12 months in per-protocol analysis but not intention-to-treat.

Pharmacological interventions for pain management during arteriovenous fistula puncture in adults and adolescents undergoing maintenance haemodialysis: a systematic review

Abdul Rehman Arshad et al.

Renal Replacement Therapy

Cryotherapy with ice packs and EMLA cream reduce pain during arteriovenous fistula puncture in hemodialysis patients. Ice pack cryotherapy showed superior pain reduction compared to EMLA cream. Evidence quality limited by small studies with bias concerns.

The role of heparin in preventing early thrombosis of arteriovenous fistula for hemodialysis: An observational Study

Aandrei Jivendra Jha et al.

Bioinformation

Intraoperative heparin reduced early arteriovenous fistula thrombosis from 25% to 11% in hemodialysis patients. Smaller vein diameter increased failure risk. Minor bleeding occurred but was safe. Heparin prophylaxis may improve dialysis access outcomes.

Retrograde Flow Into the Internal Jugular Vein in a Hemodialysis Patient Mimicking Dural Arteriovenous Fistula: A Case Report

Eri Shiozaki et al.

Cureus

A 74-year-old hemodialysis patient showed retrograde flow into internal jugular vein from arteriovenous fistula, mimicking dural arteriovenous fistula on MRI. Digital subtraction angiography confirmed no DAVF, only venous reflux from radial shunt. ASL imaging useful for early detection in hemodialysis patients at risk for intracranial hypertension.

The Single Cell Landscape of the Human Vein After Arteriovenous Fistula Creation and Implications for Maturation Failure

Laisel Martinez et al.

Paperfy Demo

Single-cell RNA sequencing of human veins before and after arteriovenous fistula creation reveals that extracellular matrix deposition dominates over cell proliferation. Persistent inflammation in endothelial cells, macrophages, and fibroblasts drives maturation failure. Targeting inflammatory pathways, not cell proliferation, may improve outcomes.

Optimizing Clinical Nursing Interventions for Hemodialysis Patients with Arteriovenous Fistula

Vasiliki Michou

Kidney and Dialysis

Dialysis nurses with structured education and exercise protocols improve arteriovenous fistula maturation and patency in hemodialysis patients. Evidence shows 54% of nurses lacked competency pre-intervention. Isometric exercises enhanced vein diameter and maturation rates significantly.