{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:12:05Z","timestamp":1777936325695,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"2025 Annual Medical Science Research Project in Hebei Province","award":["20251527"],"award-info":[{"award-number":["20251527"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,3]]},"abstract":"\n Purpose:<\/jats:title>\n To evaluate the real-world effectiveness of the rope-ladder in situ puncture technique in autogenous arteriovenous fistulas (AVF) for hemodialysis patients.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n A retrospective analysis was conducted on 88 AVF patients from the Hemodialysis Center of Cangzhou Central Hospital. The observation group (\n n<\/jats:italic>\n \u2009=\u200940) received the Rope Ladder-in-Situ Cannulation Technique (RLiSCT), while the control group (\n n<\/jats:italic>\n \u2009=\u200948) underwent conventional rope-ladder or area puncture. Outcomes included puncture pain scores (Numeric Rating Scale, NRS), single-puncture success rate, aneurysm incidence, and complication rates.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Baseline characteristics were comparable between groups (\n p<\/jats:italic>\n \u2009>\u20090.05). At 1\u2009month, single-puncture success rates showed no significant difference (\n p<\/jats:italic>\n \u2009>\u20090.05). By 3 and 6\u2009months, the observation group achieved 100% success, significantly higher than the control group (91.83% and 94.39%,\n p<\/jats:italic>\n \u2009<\u20090.05). At 12\u2009months, the observation group demonstrated lower pain scores (4.36\u2009\u00b1\u20091.65 vs 6.23\u2009\u00b1\u20092.01,\n p<\/jats:italic>\n \u2009<\u20090.05), reduced aneurysm incidence (2.50% vs 16.67%,\n p<\/jats:italic>\n \u2009<\u20090.05), and fewer total complications (7.50% vs 31.25%,\n p<\/jats:italic>\n \u2009<\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The rope-ladder in situ puncture technique reduces pain, improves single-puncture success rates, and lowers aneurysm risk without increasing overall complications, supporting its clinical utility in hemodialysis AVF management.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/11297298251364339","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T09:48:26Z","timestamp":1754905706000},"page":"688-694","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Real-world effectiveness of rope-ladder in situ cannulation in reducing pain and complications for hemodialysis patients with autogenous arteriovenous fistula"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5992-7991","authenticated-orcid":false,"given":"Ming-Cong","family":"Cao","sequence":"first","affiliation":[{"name":"Blood Purification Room of Cangzhou Central Hospital, Cangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Cangzhou Medical College, School of Stomatology, Cangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ru-Fu","family":"Jia","sequence":"additional","affiliation":[{"name":"Brain Department District Office, Cangzhou Central Hospital, Cangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke-Li","family":"Pan","sequence":"additional","affiliation":[{"name":"Nursing Office of Cangzhou Central Hospital, Cangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingyi","family":"Sun","sequence":"additional","affiliation":[{"name":"Blood Purification Room of Cangzhou Central Hospital, Cangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"issue":"6","key":"e_1_3_2_2_2","first-page":"365","article-title":"Chinese Expert Consensus on Vascular Access for haemodialysis (2nd edition)","volume":"18","author":"Vascular Access Working Group of Blood Purification Center Branch of Chinese Hospital Association","year":"2019","unstructured":"Vascular Access Working Group of Blood Purification Center Branch of Chinese Hospital Association. Chinese Expert Consensus on Vascular Access for haemodialysis (2nd edition). Blood Purif China 2019; 18(6): 365\u2013381.","journal-title":"Blood Purif China"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12185946"},{"issue":"2","key":"e_1_3_2_4_2","first-page":"170","article-title":"Nursing of a patient with intimal hyperplasia at the puncture of arteriovenous fistula cingulate","volume":"59","author":"Mingyan L","year":"2024","unstructured":"Mingyan L, Yao L, Meibin Z, et al. Nursing of a patient with intimal hyperplasia at the puncture of arteriovenous fistula cingulate. Chin J Nurs 2024; 59(2): 170\u2013174.","journal-title":"Chin J Nurs"},{"issue":"4","key":"e_1_3_2_5_2","first-page":"668","article-title":"Progress in the influence of different puncture methods on vascular intimal hyperplasia of autologous arteriovenous fistula","volume":"37","author":"Jiaxiu D","year":"2023","unstructured":"Jiaxiu D, Liping W. Progress in the influence of different puncture methods on vascular intimal hyperplasia of autologous arteriovenous fistula. Nurs Res 2023; 37(4): 668\u2013670.","journal-title":"Nurs Res"},{"issue":"5","key":"e_1_3_2_6_2","first-page":"396","article-title":"Study on the influencing factors of complications of arteriovenous fistula in patients with renal insufficiency","volume":"23","author":"Jin L","year":"2023","unstructured":"Jin L, Lihong H, Jianjun Y, et al. Study on the influencing factors of complications of arteriovenous fistula in patients with renal insufficiency. Clin J Nephrol 2023; 23(5): 396\u2013402.","journal-title":"Clin J Nephrol"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2014.96"},{"issue":"12","key":"e_1_3_2_8_2","first-page":"990","article-title":"Chinese guidelines for dialysis access (2024 edition)","volume":"40","author":"Expert group of Nephrology Society of Chinese Medical Association","year":"2024","unstructured":"Expert group of Nephrology Society of Chinese Medical Association. Chinese guidelines for dialysis access (2024 edition). Chin J Kidney Dis 2024; 40(12): 990\u20131070.","journal-title":"Chin J Kidney Dis"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-022-02842-3"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12962"},{"issue":"8","key":"e_1_3_2_11_2","first-page":"150","article-title":"Advances in the study of postoperative complications in patients with autologous arteriovenous fistula","volume":"3","author":"Sun L","year":"2024","unstructured":"Sun L, Feng X, Ji X, et al. Advances in the study of postoperative complications in patients with autologous arteriovenous fistula. Chin Foreign Med Res 2024; 3(8): 150\u2013152.","journal-title":"Chin Foreign Med Res"},{"issue":"12","key":"e_1_3_2_12_2","first-page":"1904","article-title":"Analysis of the current condition and influencing factors of vascular access puncture for hemodialysis nurses in Beijing","volume":"22","author":"Xiaoxia F","year":"2022","unstructured":"Xiaoxia F, Mo S, Shuxiao H. Analysis of the current condition and influencing factors of vascular access puncture for hemodialysis nurses in Beijing. Nurs Manage China 2022; 22(12): 1904\u20131909.","journal-title":"Nurs Manage China"},{"issue":"11","key":"e_1_3_2_13_2","first-page":"844","article-title":"Epidemiological investigation of autologous arteriovenous fistula and aneurysm in maintenance hemodialysis patients in 2020","volume":"21","author":"Na A","year":"2022","unstructured":"Na A, Ruman C, Hong L, et al. Epidemiological investigation of autologous arteriovenous fistula and aneurysm in maintenance hemodialysis patients in 2020. Blood Purif China 2022; 21(11): 844\u2013849.","journal-title":"Blood Purif China"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000029597"},{"issue":"9","key":"e_1_3_2_15_2","first-page":"698","article-title":"The effect of lidocaine aerosol in reducing the pain of autologous arteriovenous fistula puncture during the early stage of real-time ultrasound guidance","volume":"23","author":"Guanghui X","year":"2024","unstructured":"Guanghui X, Wdi Z, Lihong Z, et al. The effect of lidocaine aerosol in reducing the pain of autologous arteriovenous fistula puncture during the early stage of real-time ultrasound guidance. Blood Purif China 2024; 23(9): 698\u2013700.","journal-title":"Blood Purif China"},{"issue":"5","key":"e_1_3_2_16_2","first-page":"386","article-title":"Application of cingulate puncture method in arteriovenous fistula in hemodialysis patients","volume":"29","author":"Gai Mei Y","year":"2020","unstructured":"Gai Mei Y, Lu W, Yuanli L, et al. Application of cingulate puncture method in arteriovenous fistula in hemodialysis patients. Clin Med Pract 2020; 29(5): 386\u2013388.","journal-title":"Clin Med Pract"},{"issue":"1","key":"e_1_3_2_17_2","first-page":"71","article-title":"Value of color Doppler ultrasound in the prevention and treatment of complications of autologous arteriovenous fistula","volume":"37","author":"Yiqiang L","year":"2024","unstructured":"Yiqiang L, Xiaodong C, Xiangqing L, et al. Value of color Doppler ultrasound in the prevention and treatment of complications of autologous arteriovenous fistula. Med Equip 2024; 37(1): 71\u201374.","journal-title":"Med Equip"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000039748"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298251364339","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298251364339","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298251364339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:27:17Z","timestamp":1777692437000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298251364339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,11]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/11297298251364339"],"URL":"https:\/\/doi.org\/10.1177\/11297298251364339","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,11]]}}}