{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T19:36:48Z","timestamp":1791661008219,"version":"4.3.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,8,9]],"date-time":"2025-08-09T00:00:00Z","timestamp":1754697600000},"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":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Percutaneous transluminal angioplasty (PTA) for dysfunctional radial cephalic arteriovenous fistulas (RC-AVF) is associated with severe pain. This study evaluates the effectiveness of ultrasound-guided selective cutaneous nerve block (SCNB) in reducing procedural pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A total of 292 dialysis patients with RC-AVFs undergoing 292 PTA procedures were retrospectively reviewed. Patients were categorized into three groups based on the anesthesia method: infiltration anesthesia (IA,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200950), ultrasound-guided infiltration anesthesia (USIA,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200974), and USIA combined with SCNB (USIA\u2009+\u2009SCNB,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009168). SCNB targeted the lateral antebrachial cutaneous nerve (LACN) in all cases, with additional superficial radial nerve (SRN) blocks performed in 106 cases at the operator\u2019s discretion. Ultrasound imaging with an 18\u2009MHz linear probe was used to visualize nerves and veins, and 1% lidocaine was administered using a 25G 25\u2009mm needle. Pain was assessed using the Numerical Rating Scale (NRS).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      No significant differences in baseline characteristics were observed among the IA, USIA, and USIA\u2009+\u2009SCNB groups. The mean NRS pain scores during balloon inflation were significantly lower in the USIA\u2009+\u2009SCNB group (2.33\u2009\u00b1\u20092.08) compared to the IA group (5.24\u2009\u00b1\u20092.34,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and the USIA group (4.14\u2009\u00b1\u20092.70,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Among 38 cases with isolated forearm lesions, there was no significant difference between LACN-only and LACN\u2009+\u2009SRN blocks (2.42\u2009\u00b1\u20092.04 vs 2.63\u2009\u00b1\u20091.92,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009n.s.). However, in 75 cases with isolated peri-anastomotic lesions, the addition of an SRN block significantly reduced pain compared to LACN block alone (1.77\u2009\u00b1\u20091.82 vs 3.00\u2009\u00b1\u20091.78,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>SCNB, particularly LACN block for forearm stenosis and combined LACN\u2009+\u2009SRN block for peri-anastomotic lesions, effectively reduces pain during PTA of RC-AVFs. When combined with USIA, SCNB further enhances analgesic effectiveness during PTA, and the two methods demonstrate a synergistic effect. This method provides safe, motor-sparing anesthesia, improving patient comfort in endovascular procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298251360849","type":"journal-article","created":{"date-parts":[[2025,8,9]],"date-time":"2025-08-09T10:32:12Z","timestamp":1754735532000},"page":"676-687","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["The efficacy of ultrasound-guided selective cutaneous nerve block during percutaneous transluminal angioplasty for radiocephalic arteriovenous fistulas"],"prefix":"10.1177","volume":"27","author":[{"given":"Taisuke","family":"Shimizu","sequence":"first","affiliation":[{"name":"Department of Nephrology, Hypertension and Blood Purification, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5184-6335","authenticated-orcid":false,"given":"Tomonari","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Hypertension and Blood Purification, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuro","family":"Sano","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Hypertension and Blood Purification, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan"},{"name":"Sano Clinic, Konosu, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Hida","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Hypertension and Blood Purification, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan"},{"name":"Saitama Cooperative Hospital, Kawaguchi, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiko","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Hypertension and Blood Purification, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan"},{"name":"Medical Corporation Zuiyukai, Kawagoe, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nozomi","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Hypertension and Blood Purification, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan"},{"name":"Medical Corporation Kubojima Clinic, Kumagaya, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Tohara","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Hypertension and Blood Purification, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan"},{"name":"Department of vascular surgery, IMS Fujimi General Hospital, Fujimi, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunsuke","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Hypertension and Blood Purification, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akito","family":"Maeshima","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Hypertension and Blood Purification, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Hypertension and Blood Purification, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.05.094"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231190418"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211050174"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-021-02875-5"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2021.12.012"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1914617"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000425"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-1495-5294"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298221075178"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1515\/sjpain-2018-0012"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2014.05.007"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-019-02293-8"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2019.11.002"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-016-1409-z"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/ar.1091510307"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20576"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000585"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2023.152110"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2022.152018"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.195"},{"issue":"2","key":"e_1_3_3_23_2","first-page":"100831","article-title":"Does radial or median nerve blocks affect the area and blood flow of radial artery?","volume":"40","author":"Sinha C","year":"2021","unstructured":"Sinha C, Kumar A, Kumari P, et al. Does radial or median nerve blocks affect the area and blood flow of radial artery? Anaesth Crit Care Pain Med 2021; 40(2): 100831.","journal-title":"Anaesth Crit Care Pain Med"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/jum.14678"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.09.012"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1740941"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.21037\/cdt-21-523"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298251360849","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298251360849","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298251360849","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:27:13Z","timestamp":1777692433000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298251360849"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,9]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/11297298251360849"],"URL":"https:\/\/doi.org\/10.1177\/11297298251360849","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,9]]}}}