A Prospective Comparison of Two Types of Tunneled Hemodialysis Catheters: The Ash Split Versus the PermCath

O'Dwyer, H.; Fotheringham, Tim; O’Kelly, Patrick; Doyle, Sineaid; Haslam, Philip; McGrath, Frank P.; Conlon, Peter J.; Lee, M.J.

doi:10.1007/s00270-003-0230-7

Cited by 37 publications

(50 citation statements)

References 15 publications

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“…This meta-analysis of internal jugular TDC-related bacteremia rates was based on data published in 15 articles that met the following criteria: prospective studies, including prospective cohort and randomized controlled trials of tunneled, cuffed catheters with at least 20 patients. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Studies of the LifeSite Hemodialysis Access System (Vasca Inc, Tewksbury, Mass) and Dialock Access System (Biolink Inc, Norwell, Mass) were excluded. The final normalized cumulative TDC bacteremia control rate was 2.3/1000 catheter days.…”

Section: Methodsmentioning

confidence: 99%

Initial experience and outcome of a new hemodialysis access device for catheter-dependent patients

Katzman

McLafferty

Ross

et al. 2009

Journal of Vascular Surgery

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Section: Methodsmentioning

confidence: 99%

Initial experience and outcome of a new hemodialysis access device for catheter-dependent patients

Katzman

McLafferty

Ross

et al. 2009

Journal of Vascular Surgery

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“…The IJV is the preferred site for placement of central venous lines that are used in acutely ill patients for venous access and for estimation of central venous pressure (CVP) (Denys and Uretsky, 1991;Khatri and Espinosa, 1994;Work, 2001;O'Dwyer et al, 2005). In addition, the IJV is an important diagnostic reference for cervical pathologies involving lymph nodes and venous thromboses (Müller, 1991;Williams, 1997;Poon et al, 2004;Schummer et al, 2004).…”

Section: Clinical Significance Of Ijv and Ejv Abnormalitiesmentioning

confidence: 99%

“…It runs parallel to the common carotid artery within the carotid sheath until it joins the subclavian vein deep to the sternal end of the clavicle. The IJVs constitute one of two main pathways for return of intracranial blood (Doepp et al, 2004;Gisolf et al, 2004) and, because of their constancy and relatively superficial position, are frequently used for central venous access by emergency physicians, cardiologists, oncologists, and nephrologists (Denys and Uretsky, 1991;Khatri and Espinosa, 1994;Gadallah et al, 1995;Lin et al, 1998;Work, 2001;O'Dwyer et al, 2005). In addition, the IJVs are important anatomical landmarks for radiologists and surgeons (Müller, 1991;Khatri and Espinosa, 1994;Williams, 1997;Lin et al, 1998;Cormio and Robertson, 2001;Mastronikolis et al, 2005).…”

Section: Introductionmentioning

confidence: 97%

Bilateral duplicated internal jugular veins: Case study and literature review

et al. 2006

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A rare bilateral duplication of the internal jugular vein (IJV) was discovered during cadaveric dissection. From each jugular foramen, a single IJV descended to the level of the hyoid bone then divided into medial and lateral veins. The medial IJVs traveled in the carotid sheath; the lateral IJVs coursed posterolateral to the sheath across the lateral cervical region (posterior triangle) of the neck. On the right side, medial and lateral IJVs entered the subclavian vein separately. C2-C3 anterior rami and the suprascapular artery passed between the medial and lateral IJVs. The right external jugular vein passed aberrantly between the heads of the sternocleidomastoid muscle (SCM) into the subclavian vein anterior to the lateral IJV. On the left side, the medial IJV drained into a large bulbous jugulovertebrosubclavian (JVS) sinus that received six main vessels. The lateral IJV diverged posterolaterally toward the border of the trapezius muscle, received the transverse cervical vein, and then turned sharply anteromedially to drain into the JVS sinus. The lateral IJV also gave an aberrant additional large vein that passed laterally around the omohyoid muscle before entering the JVS sinus. The left external jugular vein paralleled the anterior border of SCM before passing posterolaterally to terminate in the JVS sinus. Jugular vein anomalies of this magnitude are very rare. Determining the frequency of multiple IJVs is hampered by inconsistent terminology. We suggest that IJV duplication differs from fenestration anatomically and, potentially, developmentally. Criteria for characterizing IJV duplication and fenestration are proposed. The mechanism of development and the clinical significance of multiple IJVs are discussed.

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“…Also, there has been a number of previous studies demonstrating the higher flow rates provided by the split tip catheters (AshSplit and Opti-Flow). [21,22] The newer split tip design, while more expensive initially, is justified by providing more effective, faster dialysis and thus is often the only catheter model used in various centers. [7] However, in our center, we are still using the older Permcath design due to longevity and operator personal preference.…”

Section: Discussionmentioning

confidence: 99%

Do AshSplit Haemodialysis Catheters Provide Better Flow Rates in the Long Term?

et al. 2007

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Background. Recently, interventional radiologists have adopted an increasingly prominent role in the placement and management of hemodialysis catheters, as well as in the research and development of new and better catheters. The purpose of this study was to evaluate the viability and hemodialysis efficiency of the AshSplit catheter and the Permcath catheter. Methods. 204 consecutive patients requiring radiological insertion of hemodialysis catheters were followed, retrospectively, over a 42-month period. Both hemodialysis catheters were placed using a combination of ultrasonic and fluoroscopic guidance and tunneled appropriately. Information collected included catheter insertion sites, insertion complications, catheter duration, and final outcome. Results. Over the study period of two years, 269 catheters were placed into 204 patients with end stage renal failure. Patients received either an AshSplit (101 patients, 127 catheters) or a Permcath (103 patients, 142 catheters). Vascular access route of choice was the right internal jugular vein (67% AshSplit, 71% Permcath). Insertion complications occurred in 18 patients overall (6.6%), with only 1 requiring further intervention (hemopneumothorax). Flow rates averaged 259 mls/min for AshSplits and 248 mls/min for Permcaths (p < 0.001). Follow-up of catheter viability for 42 months yielded a mean AshSplit catheter duration of 246 days (range 6-932) and 239 days (range 1-1,278) for Permcath (p = 0.46). Reasons for catheter failure and elective catheter removal were similar in both groups; however, Permcaths required significantly more thrombolysis than AshSplits, p < 0.001. Conclusion. The AshSplit provides significantly better flow rates and less thrombolysis compared to the Permcath, with similar catheter dwell times.

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A Prospective Comparison of Two Types of Tunneled Hemodialysis Catheters: The Ash Split Versus the PermCath

Cited by 37 publications

References 15 publications

Initial experience and outcome of a new hemodialysis access device for catheter-dependent patients

Initial experience and outcome of a new hemodialysis access device for catheter-dependent patients

Bilateral duplicated internal jugular veins: Case study and literature review

Do AshSplit Haemodialysis Catheters Provide Better Flow Rates in the Long Term?

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