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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1989-1-9
|
| pubmed:abstractText |
Polyurethane and Teflon subclavian vein catheters have been widely used for temporary vascular access for hemodialysis, but their use has been associated with a significant complication rate. A silicone dual-lumen catheter with a Dacron cuff placed in the internal jugular or subclavian vein was evaluated as a means of obtaining short-term vascular access. Sixty-two catheters in 54 patients provided a cumulative experience of 206 patient-months. Blood flow rates greater than or equal to 200 mL/min were achieved, with a mean recirculation of 2.1%. Catheter function was better with placement on the right side. Exit-site infections developed in nine patients, for a rate of 5.3 episodes per 100 patient-months; all resolved with antibiotics. Catheter-related bacteremia occurred in one patient, for a rate of 0.49 episodes per 100 patient-months, a rate much lower than rates reported for polyurethane and Teflon catheters. Clotting occurred in 24.5% of catheters, and thrombolytic therapy was always successful in restoring function. Because of the lower rate of complications, the silicone dual-lumen catheter with a Dacron cuff provides a safer alternative for short-term hemodialysis vascular access than the Teflon and polyurethane catheters.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0272-6386
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
12
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
492-8
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:3195577-Adult,
pubmed-meshheading:3195577-Aged,
pubmed-meshheading:3195577-Arteriovenous Shunt, Surgical,
pubmed-meshheading:3195577-Bacterial Infections,
pubmed-meshheading:3195577-Catheters, Indwelling,
pubmed-meshheading:3195577-Female,
pubmed-meshheading:3195577-Humans,
pubmed-meshheading:3195577-Male,
pubmed-meshheading:3195577-Middle Aged,
pubmed-meshheading:3195577-Renal Dialysis,
pubmed-meshheading:3195577-Thrombosis,
pubmed-meshheading:3195577-Time Factors
|
| pubmed:year |
1988
|
| pubmed:articleTitle |
Use of a silicone catheter with a Dacron cuff for dialysis short-term vascular access.
|
| pubmed:affiliation |
West Virginia University Medical Center, Department of Medicine, Morgantown 26506.
|
| pubmed:publicationType |
Journal Article
|