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

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

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.

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.