PMID: 11917054Mar 28, 2002Paper

Radiological placement of the AshSplit haemodialysis catheter: a prospective analysis of outcome and complications

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Fiona EwingKieran McBride

Abstract

The AshSplit catheter has recently been introduced as an alternative permanent tunnelled haemodialysis catheter, combining ease of insertion with good long-term patency and flow rates. Data were collected prospectively on all the long-term tunnelled haemodialysis (AshSplit) catheters inserted radiologically between January 1998 and March 1999. Information was obtained regarding the initial insertion, ongoing catheter function and re-intervention up to September 1999. A total of 118 catheters were inserted in 88 patients (50 male), median (range) age 64 (20-86) years. Ultrasound guidance was used routinely and the right internal jugular vein was used in 80 (68%) cases. Initial complications occurred in 14 (11.9%) cases, which included local haemorrhage, carotid artery puncture, and air embolism. Infection occurred in 34% of catheters (2.4/1000 catheter days). Line thrombosis was documented in 20% (1.2/1000 catheter days). Satisfactory mean urea reduction ratio (URR) of 63 was obtained for all catheters. There were 47 re-interventions, mainly for fibrin sheath stripping (34) and/or thrombectomy (25). Total catheter duration was 21600 days with a 1 month cumulative survival of 87% (Kaplan-Meier probability 85%). At the end of the ...Continue Reading

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Citations

Dec 17, 2004·Cardiovascular and Interventional Radiology·H O'DwyerM J Lee
Mar 23, 2004·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Maarten W TaalChristopher W McIntyre
Aug 12, 2008·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Phillip J YatesMichael L Nicholson
Sep 4, 2008·Seminars in Dialysis·John E MoranUNKNOWN ASDIN Clinical Practice Committee
Jan 31, 2016·Journal of Vascular Surgery·Julien Al ShakarchiDavid Hollinworth
Jul 23, 2013·Journal of Vascular and Interventional Radiology : JVIR·Roman ShingarevMichael Allon
Mar 31, 2012·Journal of Vascular and Interventional Radiology : JVIR·Melkamu AdebAnne Marie Cahill
Mar 19, 2004·Journal of Vascular and Interventional Radiology : JVIR·Robert L Worthington-Kirsch
Sep 30, 2003·Journal of Vascular and Interventional Radiology : JVIR·S William StavropoulosScott O Trerotola
Aug 12, 2008·Journal of Vascular and Interventional Radiology : JVIR·Marcelo SpectorMichael G Tal
Mar 1, 2007·Journal of Vascular and Interventional Radiology : JVIR·Ahmad I Alomari, Abigail Falk
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Sep 29, 2021·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Flavius ParvulescuElizabeth David

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