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Related Experiment Videos

Ash Split Cath in geriatric dialyzed patients.

P A Conz1, C Catalano, E Rizzioli

  • 1Department of Nephrology and Dialysis, Monselice Hospital, Padova, Italy. ulss17nefrologia@libero.it

The International Journal of Artificial Organs
|November 6, 2001
PubMed
Summary

The Ash Split Cath provides effective hemodialysis for elderly patients when traditional methods fail. This chronic hemodialysis catheter showed no infections and adequate blood flow in a small study group.

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Area of Science:

  • Nephrology
  • Vascular Surgery

Background:

  • Vascular access is crucial for hemodialysis in uremic patients.
  • Tunnelled catheters are essential when native arteriovenous fistulas are unavailable or unusable.
  • Chronic hemodialysis requires reliable and safe vascular access methods.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Ash Split Cath, a novel chronic hemodialysis catheter.
  • To assess the performance of the Ash Split Cath in geriatric patients with challenging venous access.

Main Methods:

  • The Ash Split Cath was inserted in five elderly patients (mean age 78 years).
  • Indications included repeated venous thrombosis (3 patients) and poor venous tree (2 patients).
  • Dialysis adequacy (KT/V), blood flow, venous pressure, and recirculation were monitored.

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Main Results:

  • Mean blood flow rate was 250+/-50 ml/minute with a mean venous pressure of 140mm Hg +/- 35.
  • Recirculation was less than 2%, and KT/V at 3 months was 1.2+/-0.02.
  • No exit site or catheter-related infections were documented during follow-up.

Conclusions:

  • The Ash Split Cath is a simple-to-place device offering adequate hemodialysis.
  • It is a viable option for geriatric patients with compromised arteriovenous fistulas.
  • This catheter addresses the need for effective vascular access in complex dialysis cases.