Use of a Silicone Catheter With a Dacron Cuff for Dialysis Short-Term Vascular Access

Alvin H. Moss, Mary M. McLaughlin, Kenneth D. Lempert, Jean L. Holley

Research output: Contribution to journalArticlepeer-review

Abstract

Polyurethane and Teflon subclavian vein catheters have been widely used for temporary vascular access for hemodialysis, but their use has been associated with a significant complication rate. A silicone dual-lumen catheter with a Dacron cuff placed in the internal jugular or subclavian vein was evaluated as a means of obtaining short-term vascular access. Sixty-two catheters in 54 patients provided a cumulative experience of 206 patientmonths. Blood flow rates 〉 200 ml./min were achieved, with a mean recirculation of 2.1 %. Catheter function was better with placement on the right side. Exit-site infections developed in nine patients, for a rate of 5.3 episodes per 100 patient-months; all resolved with antibiotics. Catheter-related bacteremia occurred in one patient, for a rate of 0.49 episodes per 100 patient-months, a rate much lower than rates reported for polyurethane and Teflon catheters. Clotting occurred in 24.5% of catheters, and thrombolytic therapy was always successful in restoring function. Because of the lower rate of complications, the silicone dual-lumen catheter with a Dacron cuff provides a safer alternative for short-term hemodialysis vascular access than the Teflon and polyurethane catheters.

Original languageEnglish (US)
Pages (from-to)492-498
Number of pages7
JournalAmerican Journal of Kidney Diseases
Volume12
Issue number6
DOIs
StatePublished - Jan 1 1988
Externally publishedYes

Keywords

  • Dialysis vascular access
  • catheter infection
  • dialysis catheter
  • subclavian vein

ASJC Scopus subject areas

  • Nephrology

Fingerprint Dive into the research topics of 'Use of a Silicone Catheter With a Dacron Cuff for Dialysis Short-Term Vascular Access'. Together they form a unique fingerprint.

Cite this