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NDT Advance Access originally published online on October 2, 2006
Nephrology Dialysis Transplantation 2007 22(2):666-667; doi:10.1093/ndt/gfl571
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Urokinase for restoration of patency of occluded permanent central venous access in haemodialysis patients—a new protocol

Email: jps@szmc.org.il

The first 10% of the full text of this article appears below.

Sir,

Tunnelled central vein catheters (TCVCs) are widely used for haemodialysis either as permanent dialysis access in elderly patients with severe peripheral vascular disease or transiently during the maturation period of an arteriovenous fistula. Their use is associated with a relatively high incidence of complications including infection and dysfunction. The most frequently occurring complication is catheter dysfunction or poor flow. Catheter dysfunction may be classified as early, which occurs immediately after insertion and is related to malposition or technical problems with placement, and late, usually induced by partial or complete thrombosis. Catheter thrombosis frequently results in catheter loss and should be addressed . . . [Full Text of this Article]

Linda Shavit1, Meyer Lifschitz1,2, Joseph Plaksin1, Tal Grenader1 and Itzchak Slotki1

1Nephrology Unit
Shaare Zedek Medical Center
Jerusalem
Israel
2University of Texas Health Science
Center at San Antonio
San Antonio
Texas
USA


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