Document Detail


Identifying hemodialysis catheter recirculation using effective ionic dialysance.
MedLine Citation:
PMID:  22929893     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Vascular catheter use for dialysis remains highly prevalent, however, it is frequently adversely affected by access recirculation (AR). We previously reported the utility of effective ionic dialysance (EID)/blood flow rate (Qb) ratio in identifying significant (>5%) AR in arteriovenous (AV) fistulas (Mohan et al ASAIO J 56:427-433, 2010). We present data from 58 patients, receiving hemodialysis via venous catheters (85% tunneled cuffed catheters) who underwent intermittent monitoring for AR with the saline dilution technique (Transonic HD02 monitor) and had EID and Qb measurements from Diascan biosensor in the Gambro Phoenix dialysis machine available. Among the 193 hemodialysis sessions studied, 74 instances of significant access recirculation (sAR) were identified. A higher incidence of sAR occurred with temporary catheters and catheters in the femoral vein. We report a significant correlation between the EID/Qb ratio and AR in addition to demonstrating the predictive utility of the ratio for identifying dysfunction catheters with sAR (area under the receiver operator characteristic curve of 0.86 with a sensitivity of 79% and a specificity of 76% at an EID/Qb ratio of ≤ 0.60). Our data demonstrate the utility of the EID/Qb ratio as an indicator of sAR in dialysis catheters albeit at a different threshold than that seen with AV fistulae.
Authors:
Jennifer Tan; Sumit Mohan; Leroy Herbert; Herman Anderson; Jen-Tse Cheng
Related Documents :
15722673 - The diagnostic evaluation of pulmonary embolism.
11288943 - Cost-effectiveness of currently accepted strategies for pulmonary embolism diagnosis.
20377983 - Delayed thrombosis of the basilar artery after stenting for a basilar trunk dissection ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ASAIO journal (American Society for Artificial Internal Organs : 1992)     Volume:  58     ISSN:  1538-943X     ISO Abbreviation:  ASAIO J.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204109     Medline TA:  ASAIO J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  522-5     Citation Subset:  IM    
Affiliation:
From the *Department of Medicine, Division of Nephrology, Harlem Hospital; and †Department of Medicine, Division of Nephrology, Columbia University Medical Center, New York, NY.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Hydrodynamic Performance of a Prototype Bioprosthetic Valve Derived from the Pulmonary Valve of Phoc...
Next Document:  The influence of device position on the flow within the Penn State 12 cc pediatric ventricular assis...