Buttonholes Bleeding???

[MJB]

Just a quick question for those who have buttonholes. I have been having a lot of bleeding around my access site. I notice it after the treatment. Has anyone experienced this? I called my center and they suggested making new holes ....needless to say I'm not too keen on that idea. I will if I have to. Have any ideas? It's almost as if the holes have gotten too big.

[angieskidney]

Just a quick question for those who have buttonholes. I have been having a lot of bleeding around my access site. I notice it after the treatment. Has anyone experienced this? I called my center and they suggested making new holes ....needless to say I'm not too keen on that idea. I will if I have to. Have any ideas? It's almost as if the holes have gotten too big.

I had experienced that in the past. The nurse told me that is caused by excessive scar tissue in that area.

Epoman could be more detailed. I am only going by what my nurse said but I am losing confidence in most of them.


Ever since I started using blunts I don't get that anymore. I think with the sharps maybe they were making the holes too big? (Not the same path all the time??)

[jedimaster]

At my clinic they told me that when the hole gets too big, then the blunt needles bleed....

[angieskidney]

At my clinic they told me that when the hole gets too big, then the blunt needles bleed....

Oh ya? I notice with mine my holes heal fast. Wonder if that can cause buttonholes to be able to establish lol

But ya when I had the bleeding it was with the sharps only and I can't remember if it was buttonholes or pre-buttonholes.

[renal30yrs]

I was warned 10 times not to do buttonhole beause of alleged dangers of complications; infections, bleeding, and possible vascular disorder.  I went ahead and did it anway.

[angieskidney]

I was warned 10 times not to do buttonhole beause of alleged dangers of complications; infections, bleeding, and possible vascular disorder.  I went ahead and did it anway.

How long ago were you warned? I know a lot of places don't realize the advantages, but are against it because they have always heard "ladder technique & don't cannulate in the same spot ever! Scar tissue is BAD!" and so to them Buttonholes are a terrible idea. They don't realize it is more of a "controlled scar tissue" as far as I am hearing. Am I right?

[renal30yrs]

I'm talking about between last June and November.  Then my nephrologist is very conservative.

[BigSky]

The say not to use siliconized smooth needles when using the buttonhole as it allows bleeding along the needle.

I was warned 10 times not to do buttonhole beause of alleged dangers of complications; infections, bleeding, and possible vascular disorder.  I went ahead and did it anway.

What they said is true.  However as with anything in this disease you pick your poison as all methods have one drawback or another.  One can only do what they feel is best for them and will provide them the least complications.

[angieskidney]

The say not to use siliconized smooth needles when using the buttonhole as it allows bleeding along the needle.

I was warned 10 times not to do buttonhole beause of alleged dangers of complications; infections, bleeding, and possible vascular disorder.  I went ahead and did it anway.

What they said is true.  However as with anything in this disease you pick your poison as all methods have one drawback or another.  One can only do what they feel is best for them and will provide them the least complications.

What are the complications associated with Buttonhole? I made the decision based on lack of cannulating space.

I think it is good for some but might not be good for others. But for me I am glad I chose to do it.

[Black]

Mike had a tiny bit of bleeding around the venous needle on day 5, but I think it was because we bumped his flow rate up (from 400 to 420) and it was a higher rate than his new fistula could handle. 

[MJB]

The say not to use siliconized smooth needles when using the buttonhole as it allows bleeding along the needle.

I was warned 10 times not to do buttonhole beause of alleged dangers of complications; infections, bleeding, and possible vascular disorder. I went ahead and did it anway.

What they said is true. However as with anything in this disease you pick your poison as all methods have one drawback or another. One can only do what they feel is best for them and will provide them the least complications.

Mike had a tiny bit of bleeding around the venous needle on day 5, but I think it was because we bumped his flow rate up (from 400 to 420) and it was a higher rate than his new fistula could handle.

Bigsky, I'm not aware of another type of needles for buttonholes. I use a MediSystems siliconizied needle 15G. If you know of another brand/type please let me know. I'm willing to try it.

Black, Good point, I usually run about 550 - 600. I guess this could have started to cause this.

[Panda_9]

If the holes become a bit big they can bleed a bit. Mine do sometimes. Also if you use local and you dont stop the bleeding before cannulating it causes blood to accumulate under the tape during treatment. This isnt good as it creates a good environment for bacteria to grow. As I am on nocturnal I wear a keakage detector that will alert me if there is a significant bleed.