Ash Split Cath (R) in geriatric dialyzed patients

Citation
Pa. Conz et al., Ash Split Cath (R) in geriatric dialyzed patients, INT J ARTIF, 24(9), 2001, pp. 663-665
Citations number
20
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Research/Laboratory Medicine & Medical Tecnology
Journal title
INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS
ISSN journal
0391-3988 → ACNP
Volume
24
Issue
9
Year of publication
2001
Pages
663 - 665
Database
ISI
SICI code
0391-3988(200109)24:9<663:ASC(IG>2.0.ZU;2-6
Abstract
Vascular access is the essential step in performing hemodialysis in uremic patients. In the absence of a permanent and utilizable native arterio-venou s fistula, the use of a tunnelled catheter makes dialysis therapy possible. The Ash Split Cath, a recently introduced chronic hemodialysis catheter, w as inserted in five patients (7.1 % of our prevalent dialysis population) b ecause of repeated venous thrombosis in three patients and a poor venous tr ee in two. The mean age of patients was 78 years +/- 7. The average blood f low rate was 250 +/- 50 ml/minute and the mean venous pressure 140mm Hg +/- 35. Recirculation determined by low flux technique was less than 2 %. KT/V calculated 3 months after the catheter placement was 1.2 +/- 0.02. During the follow-up we did not document any infection of the exit site or related to the catheter. This device is simple to place, gives adequate dialysis treatment and is us eful in geriatric dialyzed patients in whom the arterio-venous fistula can no longer be used.