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Author Topic: Rope Ladder technique  (Read 5225 times)
rsudock
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will of the healthy makes up the fate of the sick.
« on: May 21, 2011, 06:02:13 PM »
What is this rope ladder technique when it comes to cannulation?

xo,
R
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Born with autosomal recessive polycystic kidney disease
1995 - AV Fistula placed
Dec 7, 1999 cadaver transplant saved me from childhood dialysis!
10 transplant years = spleenectomy, gall bladder removed, liver biopsy, bone marrow aspiration.
July 27, 2010 Started dialysis for the first time ever.
June 21, 2011 2nd kidney nonrelated living donor
September 2013 Liver Cancer tumor.
October 2013 Ablation of liver tumor.
Now scans every 3 months to watch for new tumors.
Now Status 7 on the wait list for a liver.
How about another decade of solid health?
PatDowns
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Celebrating 60th B'Day. 12/26/15
« Reply #1 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
« Last Edit: May 21, 2011, 07:02:44 PM by PatDowns » Logged
Frank Moiger aka (previously) NoahVale and now PatDowns, the name originally chosen by a good dialysis mate who died in 12/2013.  I started in center hemodialysis as a 22 y.o. in 1978.  Cadaver transplant in 1990 and then back to in center hemodialysis in 2004 (nocturnal shift since 2011) after losing my transplant.  Former Associate  Director/Communications Director of the NKF of Georgia, President of the Atlanta Area AAKP Chapter, and consumer representative to ESRD Network 6.  Self-employed since 1993.

Dialysis prescription:
Sun-Tue-Thur - 6 hours per treatment
Dialysate flow (Qd) - 600 
Blood pump speed(Qb) - 315
Fresenius Optiflux200 NR filter - NO REUSE
Fresenius 2008 K2 dialysis machine
YLGuy
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« Reply #2 on: May 22, 2011, 12:32:55 AM »
That is a good link.  :thumbup;
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rsudock
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will of the healthy makes up the fate of the sick.
« Reply #3 on: June 06, 2011, 11:13:31 AM »
Thank you Pat!!  ;D

xo,
R
Logged
Born with autosomal recessive polycystic kidney disease
1995 - AV Fistula placed
Dec 7, 1999 cadaver transplant saved me from childhood dialysis!
10 transplant years = spleenectomy, gall bladder removed, liver biopsy, bone marrow aspiration.
July 27, 2010 Started dialysis for the first time ever.
June 21, 2011 2nd kidney nonrelated living donor
September 2013 Liver Cancer tumor.
October 2013 Ablation of liver tumor.
Now scans every 3 months to watch for new tumors.
Now Status 7 on the wait list for a liver.
How about another decade of solid health?
lmunchkin
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"There Is No Place Like Home!"
« Reply #4 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;
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11/2004 Hubby diag. ESRD, Diabeties, Vascular Disease & High BP
12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
2/2010 BKA rt leg & lt foot (all toes) amputated
6/2010 to present.  NxStage at home
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