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- W3030137020 abstract "Objective To investigate the effect and complications of using dacron cuffed central venous catheter as vascular access in the patients undergoing maintenant hemodialysis.Methods 105 cuffed catheters were placed in 103 patients (55 catheters were placed in 54 male patients and 50 catheters in 49 female patients) as vascular access from December,2005 to May,2012.The mean age of these patients was (59.0 ± 16.2) years (range:17～91 years).All catheters were placed via internal jagular vein,and correct catheter placement was determined by X-ray.Urea reduction ratio (URR) and Kt/V were measured to assess the dialysis adequacy.The control group had 60 patients who received dialysis through internal arteriovenous fistulas simultaneously in the same unit.Results 105 catheters (PermCathTM Quinton Instrument) were placed via internal jugular vein (99 right side; 6 left side).Average duration was (11.2 ± 10.4) months (range:1～54 months).Frequent complications were thrombosis or occlusion (169 episodes occurred in 27 patients,at a rate of 4.79 episodes per 1000 catheter days) and infection (34 episodes occurred in 32 patients,at a rate of 0.96 episodes per 1000 catheter days).In the catheter group,the mean value of blood flow,URR,and Kt/V were (204 ± 25) ml/min,(71.3 ± 17.8)％ and (1.34 ± 0.28),respectively.There were no significant differences between the catheter group and the control group.Conclusions Dacron cuffed central venous catheter is an effective alternative vascular access especially for patients havig exhausted vascular access sites or patients unable to receive arteriovenous fistula and arteriovenous graft because of congestive heart failure.Key words: Dacron cuffed central venous catheter; Hemodialysis; Complication" @default.
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- W3030137020 date "2013-10-01" @default.
- W3030137020 modified "2023-09-24" @default.
- W3030137020 title "Dacron cuffed central venous catheter for patients undergoing hemodialysis" @default.
- W3030137020 doi "https://doi.org/10.3760/cma.j.issn.1007-1245.2013.19.010" @default.
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