|
KMID : 0359919880070010116
|
|
Korean Journal of Nephrology
1988 Volume.7 No. 1 p.116 ~ p.121
|
|
|
Clinical Evaluation of Subclavian Dual Lumen Catheterization for Hemodialysis
|
|
|
|
|
Abstract
|
|
|
Subclavian dual lumen catheter (SDLC) has gained wide acceptance for short-term hemodialysis with the realization of the need to spare peripheral extremity vessels for the creation of more durable internal arteriovenous fistulas.
During 18 month-period between May 1986 and Oct. 1987, seventy-one SDLC were inserted into 64 patients and 359 hemodialyses were performed:
1) Catheters were retained in place for an average period of 28.7 days (5-64 days) and the average dialyses was 5.1 sessions /catheter.
2) The main reasons for SDLC insertion was previously undiagnosed ESRD without vascular access, acute renal failure and urgent transfer from CAPD failure.
3) Complications related cannulation was transient local bleeding and puncture of subclavian artery in approach process, but serious traumatic complications such as pneumothorax or hemopericardium did not occurred.
4) Major dialysis-specific problems were poor blood flow and malfunctioning in one of double lumens, and such mechanical problems were more frequent on left
subclavian cannulation than right side insertion.
5) There was no significant difference in preservation of catheter patency between daily priming with low concentrated heprin and interdialytic priming with high concentrated heparin.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|