Percutaneous Transhepatic Venous Access for Hemodialysis
2003; Elsevier BV; Volume: 14; Issue: 9 Linguagem: Inglês
10.1097/01.rvi.0000085770.63355.f2
ISSN1535-7732
AutoresS. William Stavropoulos, John J. Pan, Timothy W.I. Clark, Michael C. Soulen, Richard D. Shlansky-Goldberg, Maxim Itkin, Scott O. Trerotola,
Tópico(s)Acute Kidney Injury Research
ResumoPercutaneous transhepatic venous access is an option for hemodialysis patients who have exhausted more traditional sites of venous access. Thirty-six transhepatic dialysis catheters were placed in 12 patients. The mean time of the catheters in situ was 24.3 days. Twenty-one catheters were replaced or removed because of catheter thrombosis, yielding a catheter thrombosis rate of 2.40 per 100 catheter-days. The line sepsis rate was 0.22 per 100 catheter-days. Poor patency rates were seen because of a high rate of late thrombosis. Transhepatic dialysis catheters should only be used as a last resort unless limitations of catheter thrombosis can be overcome.
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