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AuthorAlbrecht, Simone Marlenedc.contributor.author
Date of accession2016-03-15T06:24:50Zdc.date.accessioned
Available in OPARU since2016-03-15T06:24:50Zdc.date.available
Year of creation2009dc.date.created
AbstractComparison between single-lumen and double-lumen tunneled dialysis catheters: Background: An autologous fistula, the first choice vascular access, cannot be created in all dialysis patients. Tunneled catheters are more and more frequently used as an alternative vascular access for long-term hemodialysis. Patients & Methods: We retrospectively analyzed our experience with all tunneled catheters placed between 1999 and 2005 in our center. A comparison was made between single-lumen and double-lumen catheters by Kaplan-Meier analysis. A total of 77 catheters were implanted to 61 patients (32 males, 29 females). The median age of patients was 71 years (range 21 - 91 y). Diabetes was the leading cause of renal failure (31 %) and a malignant co-morbidity was frequent (16 %). Results: More single-lumen catheters were inserted (n = 55) than double- lumen catheters (n = 22). The majority of catheters (90 %) were implanted by nephrologists. Most catheter placement procedures were without complications (80 %) except 1 serious and fatal V cava perforation. Flow problems due to clotting were the most frequent long-term complication that was managed by local alteplase thrombolysis (2 - 4 mg iv). Also infection was frequent and managed by antibiotic treatment. Staphylococcus aureus bacteremia included MRSA required the removal of the catheter (n = 8). Dialysis efficiency was within the quality standards in both groups. In the Kaplan-Meier analysis the median time of catheter function was 479 days (15.7 months) for the single-lumen catheters that was longer but not significantly so as compared to 427 days (14.6 months) for the double-lumen catheters. Conclusion: 1. Tunneled dialysis catheters pose a valuable vascular access option for hemodialysis. 2. There is a trend for better performance of single-lumen as compared to double-lumen catheters.dc.description.abstract
Languagededc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseStandard (Fassung vom 01.10.2008)dc.rights
Link to license texthttps://oparu.uni-ulm.de/xmlui/license_v2dc.rights.uri
KeywordVorhofkatheter bei Dialysepatientendc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHCatheterizationdc.subject.mesh
MeSHRenal dialysisdc.subject.mesh
TitleVorhofkatheter bei Dialysepatienten - Funktion und Komplikationendc.title
Resource typeDissertationdc.type
DOIhttp://dx.doi.org/10.18725/OPARU-2138dc.identifier.doi
PPN643740112dc.identifier.ppn
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-vts-74920dc.identifier.urn
GNDDialysedc.subject.gnd
GNDHämodialysepatientdc.subject.gnd
GNDKatheterismusdc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
Date of activation2010-12-22T09:08:47Zuulm.freischaltungVTS
Peer reviewneinuulm.peerReview
Shelfmark print versionZ: J-H 13.975; W: W-H 12.425uulm.shelfmark
DCMI TypeTextuulm.typeDCMI
VTS ID7492uulm.vtsID
CategoryPublikationenuulm.category
Bibliographyuulmuulm.bibliographie


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