Tunneled central venous catheters for dialysis - A necessary evil?
نویسندگان
چکیده
منابع مشابه
Advances in tunneled central venous catheters for dialysis: design and performance.
Over 70% of patients initiating chronic hemodialysis in the United States have a tunneled central venous catheter (CVC) for dialysis as their first blood access device. Tunneled CVC have requirements that are unparalleled by other access devices: high blood flow rates at moderate pressure drops without obstruction, minimal trauma to the vein, resistance to occlusion by fibrous sheathing, preven...
متن کاملTunneled femoral central venous catheters in children with cancer.
OBJECTIVE We discuss the feasibility of long-term femoral venous access by means of a cuffed subcutaneously tunneled central venous catheter (Broviac catheter) in selected pediatric cancer and stem cell transplant patients in whom access via the veins of the upper part of the torso is difficult or contraindicated and in whom alternative routes must be used. PATIENTS AND METHODS We report on o...
متن کاملCentral venous dialysis catheters: catheter-associated infection.
Tunneled dialysis catheters (TDC) are extensively used for long-term venous hemodialysis access and their use is frequently associated with infectious complications. Catheter-related bacteremia (CRB) is the most common and important infection associated with TDC use and may be caused by a wide variety of Gram-positive or Gram-negative organisms. Prevention of CRB can be difficult despite use of...
متن کاملCentral venous catheters.
Central venous catheterisation was first performed in 1929when Werner Frossman, a German doctor, inserted a ureteric catheter into his antecubital vein. He then walked to the radiography department so that the catheter could be guided into his right ventricle using fluoroscopy. Since then, central venous access has become amainstay of modern clinical practice. An estimated 200 000 central venou...
متن کاملUltrasound assessment of thrombotic complications in pediatric patients with tunneled central venous catheters
Central venous access consists in inserting a vascular catheter to the vena cava and placing its tip in the vicinity of the opening to the right atrium. In the patients of the Clinic of Pediatrics, Hematology and Oncology at the Academic Clinical Centre of the Medical University in Gdańsk, such implantation procedures are conducted 40-50 times in a year using Broviac/Hickman catheters that are ...
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ژورنال
عنوان ژورنال: Indian Journal of Nephrology
سال: 2011
ISSN: 0971-4065
DOI: 10.4103/0971-4065.85480