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Factors influencing function of temporary dialysis catheters.

Publication ,  Journal Article
Abidi, SM; Khan, A; Fried, LF; Chelluri, L; Bowles, S; Greenberg, A
Published in: Clin Nephrol
March 2000

AIM: To determine risk factors for failure of temporary dialysis catheters, we prospectively studied the outcome of 178 non-tunneled dual lumen catheters placed in 126 consecutive patients requiring treatment of acute renal failure (ARF) or end-stage renal disease (ESRD). METHODS: Internal jugular (IJ) or subclavian (SC) catheters were used in 122 instances and femoral catheters were employed in 56. RESULTS: IJ or SC catheters with tips in the right atrium or superior vena cava (n = 112) failed (defined as a blood flow < 250 ml/min) 17% of the time, compared with a 40% failure rate for catheters with more peripherally located tips (n = 10), p < 0.05, chi2 testing. In a multivariate analysis, use in ESRD and location peripheral to the SVC were risk factors for catheter failure. Use of one of three catheter brands was associated with a lower failure rate. Although mean venous pressures at 200 ml/min blood flow were higher in IJ or SC catheters that failed, the presence of a high venous pressure, number of catheter uses, IJ vs. SC placement, inpatient vs. outpatient status, and fresh venipuncture vs. placement over a guidewire passed through a previous catheter did not predict catheter malfunction. With femoral catheters, the only risk factor for failure was use in ESRD. CONCLUSION: Of the factors that can be influenced by placement technique, catheter tip location is most important. Whether one catheter brand is superior awaits further confirmation.

Duke Scholars

Published In

Clin Nephrol

ISSN

0301-0430

Publication Date

March 2000

Volume

53

Issue

3

Start / End Page

199 / 205

Location

Germany

Related Subject Headings

  • Urology & Nephrology
  • Time Factors
  • Risk Factors
  • Renal Insufficiency
  • Renal Dialysis
  • Prospective Studies
  • Male
  • Humans
  • Female
  • Equipment Failure
 

Citation

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Abidi, S. M., Khan, A., Fried, L. F., Chelluri, L., Bowles, S., & Greenberg, A. (2000). Factors influencing function of temporary dialysis catheters. Clin Nephrol, 53(3), 199–205.
Abidi, S. M., A. Khan, L. F. Fried, L. Chelluri, S. Bowles, and A. Greenberg. “Factors influencing function of temporary dialysis catheters.Clin Nephrol 53, no. 3 (March 2000): 199–205.
Abidi SM, Khan A, Fried LF, Chelluri L, Bowles S, Greenberg A. Factors influencing function of temporary dialysis catheters. Clin Nephrol. 2000 Mar;53(3):199–205.
Abidi, S. M., et al. “Factors influencing function of temporary dialysis catheters.Clin Nephrol, vol. 53, no. 3, Mar. 2000, pp. 199–205.
Abidi SM, Khan A, Fried LF, Chelluri L, Bowles S, Greenberg A. Factors influencing function of temporary dialysis catheters. Clin Nephrol. 2000 Mar;53(3):199–205.

Published In

Clin Nephrol

ISSN

0301-0430

Publication Date

March 2000

Volume

53

Issue

3

Start / End Page

199 / 205

Location

Germany

Related Subject Headings

  • Urology & Nephrology
  • Time Factors
  • Risk Factors
  • Renal Insufficiency
  • Renal Dialysis
  • Prospective Studies
  • Male
  • Humans
  • Female
  • Equipment Failure