Renal Failure Clinical Trial
Official title:
Vanguard Multi-Centre Feasibility Trial to Determine if Buttonhole Versus Step Ladder Cannulation for High Dose Hemodialysis is Associated With Reduced Overall Cost
The purpose of the pilot study is to determine: 1) Will patients agree to be randomized to two different methods of putting needles in their arteriovenous fistula and, 2) if we can adequately coordinate all of the sites to get useful multicentre trial data
To determine the feasibility of 1) randomizing patients to step-ladder versus buttonhole
cannulation techniques, and 2) coordinating the multiple Canadian sites that are required for
the definitive study.
Secondary Objectives: To determine 1) if buttonhole cannulation, compared to step-ladder
cannulation is associated with reduced training time for high dose home hemodialysis
patients, 2) if buttonhole cannulation, compared to step-ladder cannulation is associated
with reduced overall cost, 3) if buttonhole cannulation, compared to step-ladder cannulation
is associated with reduced complications (infection - local and systemic, radiologic/surgical
interventions, re-trains for needle insertion difficulties, hematoma formation, aneurysm
formation, missed insertions), and 4) if buttonhole cannulation, compared to step-ladder
cannulation is associated with reduced patient discomfort with needling for intensive home
hemodialysis patients
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