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CompletedNCT07931209TourniquetUpdated Nov 12, 2026

Tourniquet Use in Arteriovenous Fistula Cannulation

An observational study in Dialysis Access Malfunction and Arteriovenous Fistula, sponsored by Istanbul University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Istanbul University · Observational

Updated Nov 12, 2026Newly registeredGo to Updates ↓

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Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
504
Ages
18 Years to 50 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 22 studies in Arteriovenous Fistula with a site in Turkey — 2 open to participants now, 2 under way, none of them phase 3. Arteriovenous Fistula · Turkey.

Started
2026
the only one that year
Observational
6 of 22
1 open now
Registered
22nd of 22
by date
Lead sponsor
1 of 22
Istanbul University

Among the 22 studies in Arteriovenous Fistula with a site in Turkey, this one is the only one that started in 2026, is one of 6 observational ones, and was the 22nd registered.

Arteriovenous Fistula

248 studies on the registry are indexed under Arteriovenous Fistula; 44 are open to participants now.

Browse Arteriovenous Fistula studies →

Open to participants now

2 of the 22 studies in Arteriovenous Fistula with a site in Turkey are open now. Recruiting first, the newest first:

All 2 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 27 Arteriovenous Fistula studies recruiting now, 13 (48%) set no upper age limit and 4 (15%) stop at 75 or younger; 3 take children under 18; 2 take healthy volunteers.

This study: 18 Years to 50 Years · all sexes · healthy volunteers too.

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02

Study summary

Recommendations regarding tourniquet use in arteriovenous fistula (AVF) cannulation vary across guidelines. In general, the use of a tourniquet is recommended for all needle insertions into an AVF unless the fistula is aneurysmal. In contrast, tourniquets are not required for arteriovenous grafts. A tourniquet should be applied to assess vessel depth and direction in order to guide needle insertion. However, prolonged application must be avoided to prevent thrombosis due to impaired venous return and blood stasis. During difficult cannulations, the tourniquet may need to be released and reapplied to minimize distal ischemica

Read the detailed description

There is no consensus, therefore the recommendations in the guidelines are inconsistent on the use of a tourniquet during AVF cannulation. This suggests that tourniquet use during cannulation is largely guided by unit-specific written protocols and the clinical judgment of nurses. A recent systematic review emphasized the lack of standardized approaches and highlighted the importance of individualized, nurse-driven decision-making in vascular access management.

03

Conditions studied

  • Dialysis Access Malfunction
  • Arteriovenous Fistula

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04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

This study was conducted in a total of eight seven countries: Türkiye, Denmark, Peru, Netherlands, Portugal, Poland, and Greece.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Being nurses who are working in a hemodialysis centers
  • one year of experience with cannulation and only AVF patients
  • had no condition preventing effective communication
  • agreed to participate voluntarily

Exclusion criteria

Exclusion Criteria:

  • not being voluntary for the study
05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
504 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Determine nurses' use of tourniquets during AVF cannulation and to identify the factors influencing their use.

    Data were collected using a questionnaire developed by the researchers based on the literature

    Time frame: Baseline

  2. Confidence during AVF cannulation

    The Visual Analogue Scale was used to assess nurses' confidence levels before cannulation, ranging from 0 (no confidence) to 10 (the highest confidence)

    Time frame: Baseline

07

Study locations

1 site
  • Istanbul University
    Istanbul, Turkey (Türkiye)
08

References and documents

Publications

  • Chocarro-Haro M, Pardavila-Belio MI, Labiano C, Navarrete A, Urretavizcaya J, Sola-Freire R, Izal M, Diaz-Dorronsoro I, Choperena A. Cannulation of the arteriovenous fistula in haemodialysis: a systematic review and narrative synthesis. J Nephrol. 2025 Dec;38(9):2539-2555. doi: 10.1007/s40620-025-02448-6. Epub 2025 Nov 5. PubMed 41191301 ↗
  • Schmidli J, Widmer MK, Basile C, de Donato G, Gallieni M, Gibbons CP, Haage P, Hamilton G, Hedin U, Kamper L, Lazarides MK, Lindsey B, Mestres G, Pegoraro M, Roy J, Setacci C, Shemesh D, Tordoir JHM, van Loon M, Esvs Guidelines Committee, Kolh P, de Borst GJ, Chakfe N, Debus S, Hinchliffe R, Kakkos S, Koncar I, Lindholt J, Naylor R, Vega de Ceniga M, Vermassen F, Verzini F, Esvs Guidelines Reviewers, Mohaupt M, Ricco JB, Roca-Tey R. Editor's Choice - Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2018 Jun;55(6):757-818. doi: 10.1016/j.ejvs.2018.02.001. Epub 2018 May 2. No abstract available. PubMed 29730128 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2026 to primary completion in Nov 2026, 4 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 6, 2026
First posted
Nov 12, 2026
StartActual
Jun 5, 2026
Primary completionActual
Nov 2, 2026
CompletionActual
Nov 5, 2026
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07931209
Responsible party
Nurten Ozen (Professor, Istanbul University) — Principal investigator
First posted
Nov 12, 2026
Start date
Jun 5, 2026
Primary completion
Nov 2, 2026
Completion
Nov 5, 2026
Last update
Nov 12, 2026

Study contacts

Nurten Ozen, PhD
principal investigator · Istanbul University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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