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[Indications for the Scribner shunt in hemodialysis]
H Scholz1, M Naundorf, H Wolff
1Klinik für Chirurgie, Bereiches Medizin (Charité) der Humboldt-Universität zu Berlin.
Zeitschrift Fur Urologie Und Nephrologie
|July 1, 1988
Summary
The Scribner shunt, a vascular access method for hemodialysis, remains effective for managing septic complications arising from central venous catheters. This study shows successful sepsis control in 12 of 13 patients after shunt creation and antibiotic treatment.
Area of Science:
- Nephrology
- Vascular Surgery
- Infectious Diseases
Context:
- Central venous catheters are common for hemodialysis but prone to septic complications.
- Subcutaneous access methods have reduced the use of Scribner shunts.
- Septic complications necessitate alternative vascular access strategies.
Purpose:
- To evaluate the efficacy of the Scribner shunt in patients with central venous catheter-related sepsis.
- To assess the management of hemodialysis in the context of severe infection.
- To determine the success rate of Scribner shunt placement for ongoing hemodialysis post-catheter removal.
Summary:
- The study involved 13 patients experiencing septic complications from central venous catheters used for hemodialysis.
- A Scribner shunt was surgically created for continued hemodialysis after infected catheters were removed.
- Patients received targeted antibiotic therapy alongside the new vascular access.
Impact:
- Sepsis was successfully controlled in 12 out of 13 patients within 4 to 18 days.
- The Scribner shunt proved a viable option for maintaining hemodialysis during catheter-associated infections.
- This highlights the continued relevance of the Scribner shunt in specific clinical scenarios.