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[Central venous dialysis catheter. Silicone rubber dialysis catheter used for permanent vascular access]
D Paulsen1, M Aasen, P Fauchald
1Medisinsk avdeling B, Rikshopitalet, Oslo.
Insights
This study evaluated the Permcath dual lumen jugularis dialysis catheter, finding it acceptable for patients unable to undergo arterio-venous fistula creation. Strict aseptic technique is crucial to prevent complications like infection and clotting.
Area of Science:
- Nephrology
- Vascular Surgery
Context:
- Hemodialysis requires reliable vascular access.
- Arteriovenous fistulas are the preferred access but not always feasible.
- Dual lumen jugularis catheters offer an alternative for vascular access.
Purpose:
- To assess the efficacy and complications of dual lumen jugularis dialysis catheters (Permcath).
- To evaluate the Permcath catheter's performance as a vascular access device.
Summary:
- 51 Permcath catheters were placed in 42 patients (34 surgical, 8 percutaneous).
- Mean catheter survival was 4.1 months, with 7 removals due to infection (3) or clotting (4).
- Minor flow issues occurred in 8.8%; 7 occluded catheters were reopened with streptokinase.
Impact:
- Permcath is a viable vascular access option when fistulas cannot be created.
- Strict aseptic technique is vital for minimizing infection risks.
- Streptokinase can effectively manage catheter occlusion.
Abstract:
51 dual lumen jugularis dialysis catheters (Permcath, Quinton) were placed by surgical technique in 34 patients and by percutaneous technique in eight patients. Mean catheter life-time was 4.1 months. Seven catheters were removed due to complications (infection three catheters, clotting four catheters). Minor flow problems occurred in 8.8% of all procedures. Seven occluded catheters were successfully reopened by use of locally applied streptokinase. A strict aseptic technique is essential to avoid infection. Permcath is an acceptable vascular access device for patients in whom it is impossible to create an arterio-venous fistula.