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Related Experiment Video

Updated: Jul 13, 2026

Optimization, Test and Diagnostics of Miniaturized Hall Thrusters
12:22

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Published on: February 16, 2019

The Ash Split CathTM as long-term IJ access: Hydraulic performance and longevity.

S R Ash1, R A Mankus, J M Sutton

  • 1Dialysis Center for Greater Lafayette and Nephrology Department, Arnett Clinic, Lafayette, Indiana - USA.

The Journal of Vascular Access
|July 20, 2007
PubMed
Summary

The Ash Split Cath provides durable vascular access for end-stage renal disease (ESRD) patients, showing favorable function and duration compared to AV grafts.

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Area of Science:

  • Nephrology
  • Vascular Surgery
  • Medical Devices

Background:

  • End-stage renal disease (ESRD) necessitates reliable vascular access for hemodialysis.
  • Traditional options like arteriovenous (AV) grafts have limitations in function and longevity.
  • The Ash Split Cath offers a potential alternative for primary or bridge access.

Purpose of the Study:

  • To evaluate the duration of use and functional outcomes of the Ash Split Cath.
  • To compare the performance of the Split Cath with existing vascular access methods.

Main Methods:

  • Prospective observational study involving 164 ESRD patients.
  • Ultrasound-guided transcutaneous placement of the Split Cath in the internal jugular (IJ) vein.
  • Kaplan-Meier analysis for functional duration assessment.

Main Results:

  • 82% of catheters remained functional at 12 months, with a median half-life of 26 months.
  • Catheter failure occurred in 36 patients, primarily due to infection (53%) or mechanical issues.
  • Comparable blood flow rates were observed between Split Cath and traditional access methods.

Conclusions:

  • The Ash Split Cath demonstrates favorable function, safety, and duration for ESRD patients.
  • It presents a viable alternative to AV grafts for hemodialysis vascular access.