{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:11:04Z","timestamp":1777936264408,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T00:00:00Z","timestamp":1723766400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>The construction and utilization of dependable vascular access are essential for hemodialysis. Despite its importance, complications with vascular access are common, significantly impacting patient morbidity and mortality. This report presents a novel approach to treating chronic total occlusion (CTO) in hemodialysis vascular access using the \u201cwire kissing technique\u201d an \u201cexternalization and pull-through technique.\u201d An 82-year-old woman on hemodialysis had a thrombotic obstruction in her cephalic vein, which conventional methods failed to address. The wire kissing technique allowed the meeting of antegrade and retrograde wires within the CTO lesion, stabilizing the wire and facilitating balloon passage. The externalization and pull-through technique further enabled the balloon to cross the rigid CTO lesion, successfully completing percutaneous transluminal angioplasty (PTA). Post-procedure ultrasonography showed significant improvements in flow volume and resistance index. These techniques, commonly used in coronary and femoral arteries, have not been previously reported for dialysis vascular access. This case highlights a novel and effective solution for overcoming technical difficulties in crossing CTO lesions, potentially improving outcomes in vascular access for hemodialysis patients.<\/jats:p>","DOI":"10.1177\/11297298241273651","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T06:11:43Z","timestamp":1723788703000},"page":"1425-1429","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cWire kissing technique\u201d and \u201cexternalization and pull-through technique\u201d for treating chronic total occlusion in hemodialysis vascular access: A case report"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3024-0422","authenticated-orcid":false,"given":"Masatoshi","family":"Inoue","sequence":"first","affiliation":[{"name":"Department of Nephrology, Tokai Central Hospital, Kakamigahara City, Gifu Prefecture, Japan"},{"name":"Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya City, Aichi Prefecture, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Matsuo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Tokai Central Hospital, Kakamigahara City, Gifu Prefecture, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Tamaki","sequence":"additional","affiliation":[{"name":"Department of Clinical Engineering, Tokai Central Hospital, Kakamigahara City, Gifu Prefecture, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keita","family":"Hattori","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Tokai Central Hospital, Kakamigahara City, Gifu Prefecture, Japan"},{"name":"Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya City, Aichi Prefecture, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1606180"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820942048"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfac036"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2023.09.082"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2015.04.173"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-17-00867"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2019.05.188"},{"issue":"9","key":"e_1_3_2_9_2","article-title":"\u201cRendezvous in coronary\u201d technique with the retrograde approach for chronic total occlusion","volume":"22","author":"Muramatsu T","year":"2010","unstructured":"Muramatsu T, Tsukahara R, Ito Y. \u201cRendezvous in coronary\u201d technique with the retrograde approach for chronic total occlusion. J Invasive Cardiol 2010; 22(9): E179\u2013E182.","journal-title":"J Invasive Cardiol"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729819870633"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820938198"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241273651","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298241273651","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241273651","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:25:12Z","timestamp":1777692312000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298241273651"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,16]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/11297298241273651"],"URL":"https:\/\/doi.org\/10.1177\/11297298241273651","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,16]]}}}