<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2254-2884</journal-id>
<journal-title><![CDATA[Enfermería Nefrológica]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm Nefrol]]></abbrev-journal-title>
<issn>2254-2884</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Nefrológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2254-28842022000300007</article-id>
<article-id pub-id-type="doi">10.37551/52254-28842022026</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sistema percutáneo de creación de fistulas arteriovenosas en pacientes con hemodiálisis: nuestra experiencia inicial]]></article-title>
<article-title xml:lang="en"><![CDATA[A percutaneous system for the creation of arteriovenous fistulas in hemodialysis patients: our initial experience]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Villar]]></surname>
<given-names><![CDATA[Isidro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-González]]></surname>
<given-names><![CDATA[Zoraida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pestana-Rodríguez]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Ruiz]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Hospitalario Universitario de Canarias Hospiten Tamaragua ]]></institution>
<addr-line><![CDATA[Santa Cruz de Tenerife ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>25</volume>
<numero>3</numero>
<fpage>258</fpage>
<lpage>262</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842022000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842022000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842022000300007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La fístula arteriovenosa es considerada el acce¬so de elección para los pacientes en hemodiálisis; en los últimos años emerge una alternativa a la creación quirúrgica de esta: la fístula arteriovenosa endovascular. Esta nueva tecnología conlleva un método menos agresivo y sin cirugía.  Objetivo: Describir los datos preliminares de nuestra unidad tras la implantación de este sistema novedoso, así como su implicación para enfermería.  Material y Método: Análisis descriptivo retrospectivo de las FAV-endovasculares realizadas a cinco pacientes mediante técnica percutánea. Se consideraron las características de los pacientes, de las FAV-endovasculares realizadas y la dificultad para su punción (escala EVA).  Resultados: La edad media fue de 63 (47-77) años, 100% hombres, dializándose con catéter tunelizado, a 4 de los pacientes se les había realizado al menos una fístula arteriovenosa quirúrgica sin éxito. La creación de la FAV-endovascular fue exitosa en 4 de los 5 pacientes, todas con localización radio-radial. No hubo complicaciones durante el procedimiento. De las 4 FAV-endovasculares 3 precisaron intervención endovascular posterior para su maduración. La media de tiempo de maduración 4,5 (4-5) meses; las 4 continuaron permeables al año. Puntuada por 9 enfermeras experimentadas, la mediana de dificultad fue: punción inicial: 7, a partir del mes: 5 y comparada con las FAV quirúrgicas: 5.  Conclusiones: La FAV-endovascular supuso un procedimiento mínimamente invasivo con menor impacto para los pacientes, elevado éxito inicial, pero precisó intervención endovascular posterior para su maduración. La dificultad para la punción fue más elevada inicialmente. La ausencia de cicatriz como referencia supuso realizar una exploración más exhaustiva.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Arteriovenous fistula is considered the priority access for hemodialysis patients. In recent years, an alternative to the surgical creation of an arteriovenous fistula has been chosen, such as the endovascular arteriovenous fistula. This new technology involves a less aggressive and non-surgical approach.  Objective: To describe the preliminary data from our unit after the implementation of this novel system, as well as the nurse involvement.  Material and Method: Retrospective descriptive analysis of the endovascular AVFs performed in five patients using the percutaneous technique. The characteristics of the patients, the endovascular AVFs performed and the difficulty of puncture (VAS scale) were considered.  Results: Mean age was 63(47-77) years, 100% male, dialysing with a tunneled catheter, 4 of the patients had at least one unsuccessful surgical arteriovenous fistula. Endovascular AVF creation was successful in 4 of the 5 patients, all with radio-radial location. There were no complications during the procedure. Of the 4 endovascular AVFs 3 required subsequent endovascular intervention for maturation. The median maturation time was 4.5 (4-5) months; all 4 remained permeable at 1 year. The median difficulty score by 9 experienced nurses was for initial puncture: 7; after 1 month: 5 and compared to surgical AVFs: 5.  Conclusions: Endovascular AVF was a minimally invasive procedure with lower patient impact, high initial success, but required subsequent endovascular intervention for maturation. Difficulty of puncture was higher initially. The absence of scar as a baseline meant a more thorough exploration.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[enfermería]]></kwd>
<kwd lng="es"><![CDATA[fístula arteriovenosa]]></kwd>
<kwd lng="es"><![CDATA[acceso vascular]]></kwd>
<kwd lng="es"><![CDATA[fístula arteriovenosa endovascular]]></kwd>
<kwd lng="es"><![CDATA[WavelinQ]]></kwd>
<kwd lng="en"><![CDATA[hemodialysis]]></kwd>
<kwd lng="en"><![CDATA[arteriovenous fistula]]></kwd>
<kwd lng="en"><![CDATA[vascular access]]></kwd>
<kwd lng="en"><![CDATA[endovascular arteriovenous fistula]]></kwd>
<kwd lng="en"><![CDATA[nursing]]></kwd>
<kwd lng="en"><![CDATA[WavelinQ]]></kwd>
</kwd-group>
</article-meta>
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