Skip Navigation

This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (11)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Johnstone, R.
Right arrow Articles by Moss, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Johnstone, R.
Right arrow Articles by Moss, J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Nephrology Dialysis Transplantation, Vol 14, Issue 3 688-691, Copyright © 1999 by Oxford University Press

ORIGINAL ARTICLES

Percutaneous fibrin sleeve stripping of failing haemodialysis catheters

R Johnstone, G Stewart, J Akoh, M Fleet, M Akyol and J Moss
Renal Unit and Department of Radiology, West Glasgow Hospitals University NHS Trust, Gartnavel General Hospital, 1053 Great Western Road, Glasgow G12 0YN, UK; Corresponding author

Background. One of the most frequent reasons for failure of haemodialysis lines is catheter blockage caused by fibrin sheath formation. We report our experience of percutaneous fibrin sheath stripping in treating this problem. Methods. A consecutive series of failing haemodialysis catheters underwent percutaneous fibrin sheath stripping in an attempt to retrieve and prolong the life of the catheter. Immediate technical success, clinical success, and primary and secondary patency were measured based on clinical follow-up. Results. Sixteen non-functional permanent haemodialysis lines in 15 patients underwent percutaneous fibrin sheath stripping on 21 occasions. Technical success rate was 100%. Catheter flow rates sufficient for initial dialysis were achieved in 12 (75%) lines. Successful percutaneous fibrin sheath stripping produced a mean catheter patency of 126 days (range 6-299) days). Conclusions. Percutaneous fibrin sheath stripping is a simple, repeatable procedure that can usefully extend the life of a failing dialysis line. However, a randomized trial will be needed to evaluate its role compared with catheter replacement. Keywords: catheter; fibrin; haemodialysis; sheath; stripping
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Nephrol Dial TransplantHome page
A. S. Reddy, E. V. Lang, J. Cutts, S. Loh, and M. P. Rosen
Fibrin sheath removal from central venous catheters: an internal snare manoeuvre
Nephrol. Dial. Transplant., June 1, 2007; 22(6): 1762 - 1765.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
S. O. Trerotola
Hemodialysis Catheter Placement and Management
Radiology, June 1, 2000; 215(3): 651 - 658.
[Abstract] [Full Text]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.