Use of subclavian catheters for hemodialysis

Area of Science:

• Nephrology
• Vascular Surgery

Background:

• Vascular access is crucial for hemodialysis.
• Long-term central venous catheters are often required for repeated dialysis sessions.

Purpose of the Study:

• To evaluate the safety and efficacy of modified Shaldon catheters for long-term hemodialysis access.
• To assess complication rates and infection incidence associated with this technique.

Main Methods:

• Modified Shaldon catheters were inserted into the subclavian and internal jugular veins using the Seldinger technique.
• Catheters were used for multiple hemodialysis sessions in 98 patients.
• Vascular access was maintained for extended periods.

Main Results:

• The incidence of major complications was less than 5%.
• No clinically significant infections were attributed to the catheters.
• Each catheter facilitated multiple dialysis treatments.

Conclusions:

• The modified Shaldon catheter technique offers a safe, convenient, and cost-effective method for hemodialysis vascular access.
• This approach enables prolonged catheter dwell times and repeated dialysis procedures.
• The technique demonstrates a favorable safety profile with low complication and infection rates.