Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1997-9-3
|
| pubmed:abstractText |
The Tesio twin catheter system (Medcomp, Harleysville, PA) was developed to overcome the problems with the existing central venous catheters in providing high-efficiency dialysis, such as inadequate blood flows, high recirculation rates, and need for surgical insertion. The relatively large internal lumens and multiple side holes in a spiral pattern allow for high blood flow rates and lower tendency to thrombosis. In this series, 82 catheter pairs were placed in 75 patients and monitored for a period encompassing 231 patient-months. We achieved mean nominal blood pump flow rates of 400 +/- 6 mL/min and an average recirculation of 4.6% +/- 0.5%. In 20 sets of catheters, a nominal blood flow rate of 388 +/- 6 mL/min was measured ultrasonically at 352 +/- 8 mL/min, representing an error of 36 +/- 5 mL/min. Thrombosis of the catheter occurred at a rate of one episode per 21 patient-months, and on all occasions responded to local instillation of urokinase. Despite having two exit sites, the infection rates were comparable to other catheters: exit site infections occurred at a rate of one per 21 patient-months and bacteremic episodes occurred at one per 11.5 patient-months, necessitating catheter removal once per 46 patient-months. Based on these data, we believe that the Tesio twin catheter system is an excellent long- and short-term vascular access for providing high-efficiency dialysis.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Aug
|
| pubmed:issn |
0272-6386
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
30
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
213-8
|
| pubmed:dateRevised |
2010-11-18
|
| pubmed:meshHeading |
pubmed-meshheading:9261031-Acute Kidney Injury,
pubmed-meshheading:9261031-Bacteremia,
pubmed-meshheading:9261031-Catheterization, Central Venous,
pubmed-meshheading:9261031-Equipment Design,
pubmed-meshheading:9261031-Female,
pubmed-meshheading:9261031-Humans,
pubmed-meshheading:9261031-Jugular Veins,
pubmed-meshheading:9261031-Kidney Failure, Chronic,
pubmed-meshheading:9261031-Male,
pubmed-meshheading:9261031-Middle Aged,
pubmed-meshheading:9261031-Renal Dialysis,
pubmed-meshheading:9261031-Retrospective Studies,
pubmed-meshheading:9261031-Thrombosis
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
Long-term performance and complications of the Tesio twin catheter system for hemodialysis access.
|
| pubmed:affiliation |
Department of Medicine, University of Florida, Gainesville 32610-0224, USA.
|
| pubmed:publicationType |
Journal Article
|