Document Detail

Fibrin sheet covering subclavian or femoral dialysis catheters.
MedLine Citation:
PMID:  8024485     Owner:  NLM     Status:  MEDLINE    
The existence of a sheet around a single lumen dialysis catheter tip, which provokes a valve mechanism, is proved by the observation that several times during the replacement procedure of a dialysis catheter, a sheet surrounding the surface of the catheter is removed with the dialysis catheter. This sheet is grey, approximately 1 mm thick and 30 mm long and consists of fibrin and thrombocytes. Bacteriological examinations were always negative. The existence of the sheet in vivo is demonstrated by digitalized angiography during the removal procedure for single lumen dialysis catheters. Rarely, only the sheet is removed with the catheter. It all other instances, the sheet is stripped off and remains in the subcutaneous tunnel or in the vascular bed without causing much clinical discomfort in most patients. Occasionally an episode of cough, dyspnea, hypotension, retrosternal oppression or hemoptae after removing the single lumen dialysis catheter, suggest pulmonary embolism or lung infarction.
R Hombrouckx; F D'Halluin; A M Bogaert; F Leroy; J Y De Vos; L Larno
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Artificial organs     Volume:  18     ISSN:  0160-564X     ISO Abbreviation:  Artif Organs     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-08-04     Completed Date:  1994-08-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  322-4     Citation Subset:  IM    
Dialysis Unit, Kliniek Hogerlucht, Ronse, Belgium.
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MeSH Terms
Catheters, Indwelling / adverse effects*
Femoral Vein
Renal Dialysis / instrumentation*
Subclavian Vein
Reg. No./Substance:

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