title: Preventive hemostasis for hemodialysis vascular access surgical reinterventions.
abstract: Surgical reinterventions for treatment of complications or ligation of haemodialysis vascular access (VA), when performed in or below the mid/lower part of the upper arm, could benefit from the use of preventive haemostasis with an inflatable tourniquet. This technique offers several advantages, such as the reduced risk of bleeding and the increased accuracy of dissection allowing for a minimally invasive approach. The use of preventive haemostasis is safe, economical and time-saving. All the secondary procedures on VA that could benefit from its use are reviewed.
authors.affiliation: Department of Clinical and Molecular Medicine, Sapienza University, Rome, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Pirozzi
authors.forename: Jacopo
authors.initials: J
authors.lastname: Scrivano
authors.forename: Laura
authors.initials: L
authors.lastname: Pettorini
authors.forename: Matteo
authors.initials: M
authors.lastname: Baldinelli
authors.forename: Giorgio
authors.initials: G
authors.lastname: Punzo
authors.forename: Paolo
authors.initials: P
authors.lastname: Menè
mesh_terms: D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008026:Ligation; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D006435:Renal Dialysis; D012086:Reoperation; D014111:Tourniquets; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*