DaVita.com Kidney Education http://www.davita.com DaVita provides a complete range of dialysis treatments and support services for patients living with chronic kidney failure, also known as end stage renal disease, or ESRD. Overview of Self-Cannulation for Home Hemodialysis http://www.davita.com/preparing-for-dialysis/planning for a vascular access/overview-of-self-cannulation-for-home-hemodialysis/a/5046

When hemodialysis patients insert their own dialysis needles into a dialysis graft or fistula, it is called self-cannulation. Home hemodialysis (HHD) patients must self-cannulate, or have their care partner insert their dialysis needles for them. There are two common forms of self-cannulation. Learn about the rope ladder technique and the buttonhole technique.