What is it about?

To date no effective Emergency Department management of post dialysis bleeding from a hemodialysis access conduit has been described. We report the use of a Vascular Closure Button (VCB) in 17 Emergency Department cases of persistent bleeding from a dialysis access site. The VCB allowed the treating Emergency Physicians to repair the bleeding site with a tightly placed suture while preserving the site’s function with no subsequent thromboses documented. The use of the VCB provides an easy access point for subsequent removal of the suture without disruption of the repair secondary to excessive manipulation of the repair site.

Featured Image

Why is it important?

This procedure allows repair of hemodialysis access sites with a simple technique that is easily introduced into any emergency department.


This is study provides a simple solution to what can be a complex problem in the ED

Alfred Sacchetti
Virtua Our Lady of Lourdes Hospital

Read the Original

This page is a summary of: Alternative to the finger in the dike: use of the vascular closure button to control postdialysis bleeding in a haemodialysis access conduit, Emergency Medicine Journal, September 2019, BMJ, DOI: 10.1136/emermed-2019-208762.
You can read the full text:



The following have contributed to this page