| Catheter thrombosis. | |
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MedLine Citation:
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PMID: 11851930 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Catheter malfunction due to poor flow is a common problem. When it occurs early, the cause is generally technical. Late occurrences are most often related to thrombus formation. Several types of thrombus may be seen, differing by location and supposed mechanism of formation. The most common offender, however, is the fibrin sheath thrombus. Prevention of catheter malfunction is an endeavor that continues to beg many questions. Catheter malfunction should be treated early to avoid inadequate dialysis. In the past, urokinase was a highly valuable aid to the nephrologist in managing this problem. Since this agent became unavailable a suitable alternative has not emerged. Recombinant tissue plasminogen activator (tPA) seems to be the most likely candidate for this role; however, it is not currently available in a packaging form that is optimal for this purpose. Currently, catheter exchange appears to be the best available alternative for this problem, which cannot yet be resolved by simpler means. |
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Authors:
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G A Beathard |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Seminars in dialysis Volume: 14 ISSN: 0894-0959 ISO Abbreviation: Semin Dial Publication Date: 2001 Nov-Dec |
Date Detail:
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Created Date: 2002-02-19 Completed Date: 2002-03-20 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8911629 Medline TA: Semin Dial Country: United States |
Other Details:
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Languages: eng Pagination: 441-5 Citation Subset: IM |
Affiliation:
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3805 Green Trails South, Austin, Texas 78731, USA. gerald@beathard.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Catheterization, Central Venous
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adverse effects*,
instrumentation Device Removal Equipment Failure Humans Prognosis Renal Dialysis / adverse effects, instrumentation* Risk Assessment Venous Thrombosis / etiology*, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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