title: A multi-center perspective of the Buttonhole Technique in the Pacific Northwest.
abstract: There is no solid data on how many dialysis facilities and home hemodialysis programs in the United States are cannulating arteriovenous fistulas via the Buttonhole Technique. In the Pacific Northwest (Northwest Renal Network #16), approximately 38% of facilities are utilizing the buttonhole technique. In this article, four of those facilities will share their experiences, which suggest the Buttonhole Technique is a viable AVF cannulation option that has fewer complications than site rotation and a higher level of patient satisfaction.
authors.affiliation: Renal Educator and National Speaker on Vascular Access, Northwest Renal Network, Seattle, WA, USA.
authors.forename: Lynda K
authors.initials: LK
authors.lastname: Ball
authors.forename: Lynne
authors.initials: L
authors.lastname: Treat
authors.forename: Virginia
authors.initials: V
authors.lastname: Riffle
authors.forename: Dennis
authors.initials: D
authors.lastname: Scherting
authors.forename: Liz
authors.initials: L
authors.lastname: Swift
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods* / Q000592:standards; D002404:Catheterization; D006801:Humans; D015205:Northwestern United States; D017749:Total Quality Management