PMID: 5354876Dec 20, 1969Paper

Maintenance of silastic-teflon shunts for intermitten haemodialysis

British Medical Journal
C S McIntoshM Macleod


The occurrence of infection in the tissues surrounding external arteriovenous shunts was studied and die important relationship of pyogenic infection to clotting was confirmed. The local application of fusidic add tulle and lanolin greatly reduced the occurrence of both infection and clotting and the need for cannula replacement.Urokinase used for declotting shunts when standard procedures had failed, restored blood flow whether dotting was related to infection or to local vascular factors. This treatment is not advised when clotting is associated with a local abscess, as it may make cannula replacement necessary. Severe local vascular factors, such as metastatic calcification, Raynaud's phenomenon, and venous stenosis, may lead to poor blood flow, so that despite clot lysis elective cannula replacement or the creation of a subcutaneous arteriovenous fistula is required.


Nov 1, 1966·Journal of Clinical Pathology·R J Evans, P M WATERWORTH
Jul 15, 1967·British Medical Journal·A J WingH E De Wardener
Jul 1, 1959·The Journal of Clinical Investigation·A P FLETCHERS SHERRY
May 5, 1962·Lancet·M BARBER, P M WATERWORTH
May 5, 1962·Lancet·G TAYLOR, K BLOOR
Mar 23, 1963·British Medical Journal·R B CROSBIE
May 1, 1964·Journal of Clinical Pathology·N EdwardM Macleod
Jan 27, 1962·Lancet·M MacleodD OGSTON


Jan 1, 1975·Journal of Clinical Pathology·M H RebelW C Noble
Jan 28, 2003·Biophysical Journal·E N CytrynbaumA Mogilner
Jan 4, 2017·Hemodialysis International·Susanne RegusAxel Schmid
Aug 1, 1972·Scottish Medical Journal·R M Lindsay, J A Burton

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