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Subclavian cannulation. Valuable dialysis access alternative.

L G Fares, T C Hsu, R Leva

    The American Surgeon
    |May 1, 1984
    PubMed
    Summary
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    Subclavian vein catheters provide effective temporary dialysis access for patients. This method facilitated numerous dialysis treatments with manageable complications, proving a valuable alternative to other temporary access options.

    Area of Science:

    • Nephrology
    • Vascular Access
    • Medical Devices

    Background:

    • Temporary dialysis access is crucial for patients requiring renal replacement therapy.
    • Traditional methods like Scribner shunts and femoral catheterizations have limitations.
    • The subclavian vein offers a potential site for durable temporary vascular access.

    Purpose of the Study:

    • To evaluate the efficacy and safety of subclavian vein catheterization for temporary hemodialysis access.
    • To assess the duration of catheter use and the number of dialysis treatments per catheter.
    • To analyze the incidence and management of complications associated with subclavian dialysis catheters.

    Main Methods:

    • Retrospective analysis of 67 patients undergoing temporary dialysis access via subclavian vein catheters.

    Related Experiment Videos

  • Review of 733 dialysis treatments performed using 87 subclavian catheters.
  • Documentation of catheter dwell times, treatment numbers, and associated complications.

    • Main Results:

    • Catheters remained in place for an average of 24.5 days per patient and 18.9 days per catheter.
    • An average of 10.9 dialysis treatments were performed per patient and 8.4 per catheter.
    • 21 catheter complications occurred, with 12 successfully managed by guide wire exchange; no deaths were catheter-related.

    Conclusions:

    • Subclavian vein catheterization is a safe and effective method for temporary dialysis access.
    • It offers a valuable alternative, replacing Scribner shunts and repeated femoral catheterizations.
    • Proper insertion technique and catheter care are essential for minimizing complications.