Nephrology Dialysis Transplantation, Vol 13, Issue 1 130-133, Copyright © 1998 by Oxford University Press
K Takeda, A Harada, M Kubo, T Inenaga, K Tsuruya, K Mitsuiki, H Hirakata and M Fujishima
Method: Placement of a femoral vein catheter as
temporary vascular access for haemodialysis was conducted and the
indications, catheter patency rate, and incidence of catheter-related
infections were examined. A urokinase immobilized femoral vein catheter
(UIFC) is a soft polyurethane single-lumen catheter 2.7 mm in diameter and
22 cm in length which needs no heparin infusion (Japan Shawood Co., Ltd.,
Tokyo; Unitica Co., Ltd., Hyogo, Japan). A soft silicon rubber was attached
to the tip of the catheter in order to avoid excessive bleeding during
insertion. Aseptic adhesive wound dressing was employed at the exit-site
which was cleansed with popidone-iodine and renewed at each dialysis
session. Results: Eighty-one UIFCs were used for
haemodialysis in 64 patients (acute renal failure: 11; vascular access
trouble: 53; initiation of chronic dialysis: 17). The average age of the
patients was 58±13 years, ranging from 26 to 80 years. The mean
duration of catheter indwelling was 22.4±13.1 days. An adequate
blood flow of 180-200 ml/min was obtained through UIFC and returned to
another peripheral vein punctured at each dialysis session. Unexplained
fever occurred in four cases while the UIFC was in place (4.9%) but culture
of either blood or the catheter tip was negative for bacteria. The catheter
was removed immediately and fever subsided in all cases. The overall
catheter survival rate was 84% at 34 days calculated using the Kaplan-Meier
method. Catheter insertion was easy to perform and no serious complications
such as pulmonary embolism or septicaemia occurred.
Conclusion: Our modified type of UIFC is very useful
as a temporary access for haemodialysis with a very low incidence of
catheter-related infections and no need for heparinization. Excellent
catheter patency was maintained with the plug system and careful dressing
techniques without unnecessary bleeding during catheter care. Key
words: femoral vein catheterization; haemodialysis; temporary
vascular access; catheter survival rate
ORIGINAL ARTICLES
Successful use of single-lumen, urokinase immobilized femoral catheters as a temporary access for haemodialysis
Kidney Center, Matsuyama Red Cross Hospital, Matsuyama, Japan; Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan; Corresponding author at: University of Alberta, Laboratory Medicine and Pathology, 3819-110st, Edmonton, Alberta, T7J 1E5, Canada
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  H. Karaaslan, P. Peyronnet, D. Benevent, C. Lagarde, M. Rince, and C. Leroux-Robert Risk of heparin lock-related bleeding when using indwelling venous catheter in haemodialysis Nephrol. Dial. Transplant., October 1, 2001; 16(10): 2072 - 2074. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. N. M. Barendregt, J. H. M. Tordoir, and K. M. L. Leunissen Antithrombotic measures for indwelling intravenous haemodialysis catheters—Columbus' egg yet to be found Nephrol. Dial. Transplant., August 1, 1999; 14(8): 1834 - 1835. [Full Text] [PDF]
|
|