I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: General Discussion => Topic started by: rsudock on May 21, 2011, 06:02:13 PM

Title: Rope Ladder technique
Post by: rsudock on May 21, 2011, 06:02:13 PM

What is this rope ladder technique when it comes to cannulation?

xo,
R

Title: Re: Rope Ladder technique
Post by: PatDowns on May 21, 2011, 06:44:21 PM

The rope-ladder technique involves cannulating the entire length of the fistula in a different site every time to allow healing of the previous puncture site.   Also, the only cannulating technique to be used on an AV graft.  Sticking a graft over and over in the same spots (Buttonhole technique) will erode the artificial graft material and cause pseudo aneurysms.

Advantages and disadvantages to both buttonhole and rope-ladder techniques:

http://www.davita.com/kidney-disease/preparing-for-dialysis/planning-for-a-vascular-access/rope-ladder-and-constant-site-or-buttonhole-techniques/e/5034

Title: Re: Rope Ladder technique
Post by: YLGuy on May 22, 2011, 12:32:55 AM

That is a good link.  :thumbup;

Title: Re: Rope Ladder technique
Post by: rsudock on June 06, 2011, 11:13:31 AM

Thank you Pat!!  ;D

xo,
R

Title: Re: Rope Ladder technique
Post by: lmunchkin on June 06, 2011, 08:40:42 PM

Pat is correct!  This is the technique I use on my husband. Some like the buttonholes, but I have had no problems with the "Rope ladder".  My husband has a very well established fistula, so that makes it easier for me!

lmunchkin       :flower;