requiring catheter-based hemodialysis has increased in recent decades. Catheter-based hemodialysis is commonly used during the time it takes for arteriovenous fistula maturation. Conventional venous access sites such as the subclavian vein (SCV) and internal jugular vein (IJV) had been used for catheter placement. However, the SCV should be preserved from catheterization, with consideration of ...

Central vein stenosis/occlusion is a common well-described sequel to the placement of hemodialysis catheters in the central venous system. The precise mechanisms by which central vein stenosis occurs are not well known. Current concepts in central vein stenosis pathophysiology focus on the response to vessel injury model, emphasizing the process of trauma. A case of left brachiocephalic vein st...

background: central venous catheters (cvcs) are used not only as a tool to access to central venous system, but also for hemodynamic monitoring, parenteral nutrition, chemotherapy and hemodialysis. the use of cvcs is associated with some complications notably infections that are troublesome both to patient and physician. we conducted this study to examine catheter fixation with skin fold techni...

BACKGROUND Prevention of catheter-related infection is of prime importance,. However, because of the risks caused by the leakage of circulating antibiotics and development of resistance to antibiotics, they are replaced by lock solutions. The aim of this study was to evaluate the efficacy and cost- effectiveness of taurolidine-citrate as a hemodialysis catheter lock solution compared to other c...

INTRODUCTION Application of a central venous catheter (CVC), as a temporary or permanent vascular access for hemodialysis, has been continuous practice at the Sarajevo Pediatric Clinic, Department of Pediatric Intensive Care. The main goal of the article is to present our experiences with central venous catheters in the treatment of these patients. MATERIAL AND METHODS In the period from Janu...

BACKGROUND It is unknown whether the selection of healthier patients for arteriovenous fistula (AVF) placement explains higher observed catheter-associated mortality among elderly hemodialysis patients. METHODS From the United States Renal Data System 2005-2007, we used proportional hazard models to examine 117 277 incident hemodialysis patients aged 67-90 years for the association of initial...

In their landmark 1996 paper in JAMA, Hirth and colleagues reported that most patients in the United States with permanent vascular access were undergoing dialysis via a prosthetic graft rather than an autogenous fistula, despite known higher rates of infection and thrombosis associated with grafts.1 These authors also reported large regional differences in rates of graft use—ranging from 23% o...

Tunneled catheters are widely used for the provision of hemodialysis. Long-term catheter survival is limited by tunneled catheter-related infections (CRI). This study assesses the efficacy of catheter-restricted filling with gentamicin and citrate in preventing CRI in hemodialysis patients. A double-blind randomized study was conducted to compare heparin (5000 U/ml) with gentamicin/citrate (40 ...

PURPOSE OF REVIEW Recently, there has been much debate about the practicality and utility of training nephrology fellows in temporary hemodialysis catheter insertion. SOURCES OF INFORMATION Literature review along with the authors' opinion. FINDINGS This skill can be taught easily, in a controlled fashion to maximize success and minimize complications. In order to achieve this training cent...