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The cannon catheter--a prospective analysis

James Caridi1, Edward Ross, Amanda Aspilcueta

  • 1Department of Radiology, Shands at the University of Florida, 1600 SW Archer Road, Box 100374, Gainesville, FL 32607, USA. caridj@radiology.ufl.edu

Journal of Vascular and Interventional Radiology : JVIR
|August 31, 2010
PubMed

Insights

The Arrow Cannon II Plus hemodialysis catheter ensures optimal tip positioning for high blood flow and minimal complications. This tip-first placement method improves vascular access for effective hemodialysis.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Medical Devices

Background:

  • Correct hemodialysis catheter tip positioning is crucial for clinical outcomes.
  • Improper placement can lead to reduced blood flow and long-term complications.
  • Central positioning in the right atrium optimizes flow and minimizes recirculation.

Purpose of the Study:

  • To evaluate the clinical performance of the Arrow Cannon II Plus hemodialysis catheter.
  • To assess the efficacy of tip-first (retrograde) placement for accurate positioning.
  • To determine blood flow rates and recirculation with this novel catheter design.

Main Methods:

  • A 6-month prospective analysis was conducted.
  • The study focused on the Arrow Cannon II Plus hemodialysis catheter.
  • Clinical performance was assessed based on blood flow and recirculation rates.

Main Results:

  • The catheter achieved high blood flow rates (mean flow, 378.9-402.4 mL/min).
  • Recirculation rates were consistently below the Kidney Disease Outcomes Quality Initiative (KDOQI) limit (0% to 3.6%).
  • The device demonstrated minimal complications during the study period.

Conclusions:

  • The Arrow Cannon II Plus hemodialysis catheter is associated with high blood flow and minimal complications.
  • Tip-first placement is an effective strategy for achieving accurate central positioning.
  • This novel device represents an advancement in vascular access for high-performance hemodialysis.

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