Tesio F, De Baz H, Panarello G
Are internal jugular vein catheters suitable for daily home
hemodialysis?
XVIth Annual CAPD Conference
Perit Dial Int Suppl 2
(Feb) 16:S100 1996
Tesio has long been using two separate silicone internal jugular catheters as
opposed to a single double-lumen catheter for vascular access in his salvage
patients. In this abstract he describes his results in 46 such patients.
Technique survival was an amazing 98, 96, and 93% at 1,2, and 3 years,
respectively. Mean blood flow rate was about 280 ml/min, and only 3 of these
catheters needed to be replaced (2 for sepsis and 1 for clotting).
Comment: We don't use these catheters, but Dr. Tom Golper reports
that he is using them with increasing frequency in his unit, and is quite
satisfied with the result, although periodic urokinase infusion is required
when the catheter flow becomes reduced. With such a high technique survival,
the use of the Tesio catheter system becomes very attractive (theoretically)
even for non-salvage patients wishing to follow a daily home hemodialysis
schedule. (John T. Daugirdas, M.D., Univ of Illinois at Chicago)
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XVIth Annual CAPD Conference
Basic hemodialysis :
Home hemodialysis
Basic hemodialysis :
Vascular Access: venous