Document Detail


Initial clinical experience with a new heparin-coated chronic hemodialysis catheter.
MedLine Citation:
PMID:  19473278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this paper we wish to report our clinical experience with a new heparin-coated dialysis catheter with a symmetric tip. Over a 16-month period, 60 heparin-coated Tal Palindrome catheters were placed in 57 patients. Catheter patency, catheter-related complications, and reasons for catheter removal were recorded. The patient's initial cause of end-stage renal disease, underlying diseases, and site of access were recorded as well. Patients were specifically followed for development of heparin-induced thrombocytopenia. Patient ages were 34-91 (average 66). Fifty-four percent of patients had a history of diabetes. Sixty catheters were placed for a total of 5353 catheter-days. The average catheter indwell time was 107 days (range of 2-381 days). Catheter-related infection occurred in 6 patients over the study period, with a rate of 1.12/1000 catheter-days. Bacteremia occurred in 3 patients with a rate of 0.56/1000 catheter-days. Six catheters were removed or exchanged due to malfunction. There was no incidence of heparin-induced thrombocytopenia. Initial clinical experience with the heparin-coated Tal Palindrome hemodialysis catheter demonstrated safe, reliable use, and low infection rates.
Authors:
Hamid Mojibian; Marcelo Spector; Nina Ni; Donna Eliseo; Jeffrey Pollak; Michael Tal
Related Documents :
2214798 - Long-term experience with a totally implanted catheter system in cancer patients.
16928648 - Safe techniques for inserting the hickman catheter in pediatric patients.
2217768 - Pinch-off syndrome: a complication of implantable subclavian venous access devices.
7556258 - Complex ruptured amebic liver abscesses: the role of percutaneous catheter drainage.
7730538 - The use of expandable metal stents for large airway obstruction in older patients.
23723278 - A prospective study comparing conservative with operative treatment in patients with a ...
Publication Detail:
Type:  Journal Article     Date:  2009-05-15
Journal Detail:
Title:  Hemodialysis international. International Symposium on Home Hemodialysis     Volume:  13     ISSN:  1542-4758     ISO Abbreviation:  Hemodial Int     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-08-25     Completed Date:  2010-02-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101093910     Medline TA:  Hemodial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  329-34     Citation Subset:  IM    
Affiliation:
Interventional Radiology, Yale New Haven Hospital, New Haven, Connecticut 06504, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Catheters, Indwelling*
Female
Heparin / chemistry*
Humans
Kidney Failure, Chronic / therapy
Male
Middle Aged
Renal Dialysis / instrumentation*,  methods
Retrospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
9005-49-6/Heparin

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


Previous Document:  Yeast diversity of Ghanaian cocoa bean heap fermentations.
Next Document:  A novel technique for treatment of intractable spontaneous intracranial hypotension: lumbar dural re...