{"id":24971,"date":"2019-03-24T17:40:45","date_gmt":"2019-03-24T21:40:45","guid":{"rendered":"http:\/\/www.stepwards.com\/?page_id=24971"},"modified":"2025-03-21T22:34:57","modified_gmt":"2025-03-22T02:34:57","slug":"fundamental-technical-skills-in-interventional-radiology-closing-av-graft-fistula-access-sites-purse-string-and-toggle-technique","status":"publish","type":"page","link":"https:\/\/www.stepwards.com\/?page_id=24971","title":{"rendered":"Fundamental Technical Skills In Interventional Radiology: Closing AV Graft\/Fistula Access Sites (Purse String And Toggle Technique)"},"content":{"rendered":"<h5><span style=\"text-decoration: underline;\">OVERVIEW<\/span><\/h5>\n<p>After dialysis AV grafts\/fistulas are accessed they can be closed using the technique shown below. This involves using a purse string suture as well as a &#8220;toggle&#8221; device (cut piece of a dilator\/introducer) to securely close down the access site. The video below shows how to properly perform this technique.<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/EgENNI2FHaM\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h5><span style=\"text-decoration: underline;\">HOW TO EASILY REMOVE THESE TOGGLE DEVICES<\/span><\/h5>\n<p>It is important to make sure that we appreciate that these &#8220;toggle&#8221; devices that are used to close down the AV graft\/fistula sites should not be left in place indefinitely. Often times they should be removed 24-48 hours after their placement. The video below shows an easy way to remove these devices.<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/HkxRhPBouso\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<pre>Page Updated: 03.24.2019<\/pre>\n","protected":false},"excerpt":{"rendered":"<p>OVERVIEW After dialysis AV grafts\/fistulas are accessed they can be closed using the technique shown below. This involves using a purse string suture as well as a &#8220;toggle&#8221; device (cut piece of a dilator\/introducer) to securely close down the access site. The video below shows how to properly perform this technique. HOW TO EASILY REMOVE &#8230; <a title=\"Fundamental Technical Skills In Interventional Radiology: Closing AV Graft\/Fistula Access Sites (Purse String And Toggle Technique)\" class=\"read-more\" href=\"https:\/\/www.stepwards.com\/?page_id=24971\" aria-label=\"More on Fundamental Technical Skills In Interventional Radiology: Closing AV Graft\/Fistula Access Sites (Purse String And Toggle Technique)\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false},"jetpack_shortlink":"https:\/\/wp.me\/P71awf-6uL","_links":{"self":[{"href":"https:\/\/www.stepwards.com\/index.php?rest_route=\/wp\/v2\/pages\/24971"}],"collection":[{"href":"https:\/\/www.stepwards.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.stepwards.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.stepwards.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stepwards.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24971"}],"version-history":[{"count":3,"href":"https:\/\/www.stepwards.com\/index.php?rest_route=\/wp\/v2\/pages\/24971\/revisions"}],"predecessor-version":[{"id":24975,"href":"https:\/\/www.stepwards.com\/index.php?rest_route=\/wp\/v2\/pages\/24971\/revisions\/24975"}],"wp:attachment":[{"href":"https:\/\/www.stepwards.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}