| The great saphenous vein for central venous access and haemodialysis. | |
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MedLine Citation:
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PMID: 18689789 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Utilising an open surgical technique the Great Saphenous vein in the proximal thigh can be used for the insertion of central venous catheters for haemodialysis. This approach is safe and efficacious, and may be performed under local or general anaesthesia. This technique is of particular importance in patients requiring vascular access for haemodialysis in whom the upper central veins are stenosed and the femoral vessels are not amenable to percutaneous cannulation. METHODS: The Great saphenous vein is exposed via a surgical incision in the thigh. The central venous catheter is then inserted and advanced until in the desired position, as confirmed on fluoroscopy. RESULTS: Seven Great saphenous catheters were placed over a period of six months. All catheters insertions were technical successes with completion of at least one dialysis session. Primary patency rates were 57%, 49%, 23% at 30, 60 and 90 days respectively. CONCLUSION: The great saphenous vein offers an additional site for the insertion of central venous catheters. These data demonstrate equivalence in patency between this novel technique and percutaneous femoral vein cannulation. |
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Authors:
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Phillip J Yates; Adam D Barlow; Yasha Johari; Tahir Doughman; Michael L Nicholson |
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Publication Detail:
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Type: Journal Article Date: 2008-08-08 |
Journal Detail:
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Title: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association Volume: 24 ISSN: 1460-2385 ISO Abbreviation: Nephrol. Dial. Transplant. Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2008-12-19 Completed Date: 2009-02-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8706402 Medline TA: Nephrol Dial Transplant Country: England |
Other Details:
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Languages: eng Pagination: 208-10 Citation Subset: IM |
Affiliation:
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Department of Infection, University of Leicester, Leicester General Hospital, Leicester, UK. pjy4@le.ac.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Catheterization, Central Venous
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methods*,
statistics & numerical data Catheters, Indwelling Femoral Vein / surgery Fluoroscopy Humans Kaplan-Meiers Estimate Kidney Failure, Chronic / therapy Renal Dialysis / methods* Saphenous Vein / radiography, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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