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Experience with the double lumen Silastic catheter for hemoaccess
E S Bour1, A S Weaver, H C Yang
1Department of Surgery, Pennsylvania State University College of Medicine, Hershey 17033.
Surgery, Gynecology & Obstetrics
|July 1, 1990
Summary
The Quinton PermCath offers improved transvenous access for hemodialysis, showing high success rates and manageable complications when placed using precise fluoroscopic guidance. This method ensures reliable catheter function for various dialysis needs.
Area of Science:
- Nephrology
- Vascular Surgery
- Medical Devices
Background:
- Transvenous access is crucial for hemodialysis.
- Previous catheters had limitations in patient acceptance and functionality.
- The Quinton PermCath (Silastic, Dacron-cuffed) emerged as a potentially improved option.
Purpose of the Study:
- To evaluate the clinical experience and outcomes of using the Quinton PermCath for hemodialysis access.
- To assess the efficacy and complication rates associated with this device.
Main Methods:
- Retrospective review of 53 Quinton PermCath placements in 49 patients.
- Catheters used for acute dialysis initiation, bridging to permanent access, and chronic access.
- Insertion via jugular system (external/internal) with fluoroscopic guidance and specific catheter tip positioning.
Main Results:
- Successful function achieved in all cases with the described positioning technique.
- Average catheter use was 84 days (range: 1-573 days).
- Complications included thrombosis (treated with thrombolytics) and sepsis (requiring catheter removal).
Conclusions:
- The Quinton PermCath represents an advancement in hemodialysis access with a low complication rate.
- Meticulous fluoroscopic positioning of the catheter tip is key to successful and sustained function.
- This device offers a viable option for various hemodialysis access needs.