Minimum Performance Standards for Double-Lumen Subclavian Cannulas for Hemodialysis

Bregman, H; Miller, Kenneth M.; Berry, Linda F.

doi:10.1097/00002480-198609000-00023

Cited by 8 publications

(1 citation statement)

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“…From our results, it is obvious that the minimum hemo dynamic performance [4] for dual lumen jugular catheters, i.e., Qb = 200 ml/min, VP<150 mm Hg, recircula tion < 5%, was achieved under normal conditions for al most all patients. When the venous lumen was connected to the arterial line and the arterial lumen to the venous line, VP decreased significantly from a mean value of 75 to 61 mm Fig (p = 0.028).…”

Section: Discussionmentioning

confidence: 71%

Efficacy of Dual Lumen Jugular Venous Catheter Hemodialysis when Venous Lumen Is Used as Arterial Lumen

Sombolos

Natse

Zoumbaridis

et al. 1993

Nephron

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In 12 patients who underwent hemodialysis by a dual lumen jugular venous catheter, urea recirculation rate was measured during conventional treatment under normal conditions (R1), as well as when the venous lumen of the catheter was used as arterial lumen and the arterial as venous lumen (R2). Although the mean value of R2 was, as expected, higher than R1 (8.25 ± 2.7 versus 4.25 ± 1.00; p = 0.0004), it was still within the acceptable rate. We conclude that during hemodialysis by a dual lumen jugular venous catheter, efficient treatment can be provided when the venous is used as arterial lumen.

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Section: Discussionmentioning

confidence: 71%

Efficacy of Dual Lumen Jugular Venous Catheter Hemodialysis when Venous Lumen Is Used as Arterial Lumen

Sombolos

Natse

Zoumbaridis

et al. 1993

Nephron

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Subclavian Vein Cannulation for Hemodialysis

Vanherweghem¹

1989

Vascular and Peritoneal Access for Dialysis

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Broken piece in the lungs: A complication of haemodialysis via subclavian cannulation

Szekely

Rácz

Karátson

1989

International Urology and Nephrology

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For a total of 349 haemodialysis sessions in 35 patients, 50 special subclavian cannulations were performed. The catheters were implanted infraclavicularly by the Seldinger technique. The average duration of the cannulation period was 26.6 days and the number of dialysis sessions per catheter was 7. Aspects of subclavian cannulation together with indications and complications are described. In three chronically uraemic patients, after 1, 5, and 6 weeks of single-needle haemodialysis, it was noticed that the catheter tip (3-5 cm) inserted into the subclavian vein had broken off. The broken pieces, lodged in the segmental pulmonary arteries, never caused any complication during the observation periods as long as 6, 14 and 33 months. Therefore their removal, either open or transluminal, seemed unnecessary. To prevent complications of similar type it is advisable to avoid single-needle dialysis. Recommended instead is either the double-needle method or the use of a double-lumen catheter.

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Minimum Performance Standards for Double-Lumen Subclavian Cannulas for Hemodialysis

Cited by 8 publications

References 0 publications

Efficacy of Dual Lumen Jugular Venous Catheter Hemodialysis when Venous Lumen Is Used as Arterial Lumen

Efficacy of Dual Lumen Jugular Venous Catheter Hemodialysis when Venous Lumen Is Used as Arterial Lumen

Subclavian Vein Cannulation for Hemodialysis

Broken piece in the lungs: A complication of haemodialysis via subclavian cannulation

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