Thrombosis caused by polyurethane double-lumen subclavian superior vena cava catheter and hemodialysis

Maria Rørbæk Wanscher, J J Frifelt, C Smith-Sivertsen, A P Andersen, A D Rasmussen, R Sanchez Garcia, F Køhler

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

During an 18-month period, 82 consecutive patients (37 women and 45 men), with a mean age of 50 yr (range 15 to 74), underwent hemodialysis with 91 polyurethane double-lumen subclavian superior vena cava catheters inserted via the right subclavian vein. Upon catheter removal, venograms were performed in 53 which revealed thrombosis in 13. Autopsy performed in 13 other patients revealed thrombosis in three. Mean catheter duration was 27 days (range 1 to 138). Catheter duration was significantly (p less than .01) longer in the 16 cases complicated by thrombosis. There was no significant difference in the frequency of thrombosis between men and women. Two patients developed symptoms of subclavian vein occlusion after the creation of an arteriovenous fistula on the same side as a previous hemodialysis catheter. Overall, thrombosis was found in 23% and increased with longer catheter duration. We recommend phlebography to exclude thrombosis before creating an arteriovenous fistula on the same side as the previous hemodialysis catheter. There was no case of clinical discernible pulmonary embolism.
OriginalsprogEngelsk
TidsskriftCritical Care Medicine
Vol/bind16
Udgave nummer6
Sider (fra-til)624-8
Antal sider5
ISSN0090-3493
StatusUdgivet - 1988

Fingeraftryk

Superior Vena Cava
Polyurethanes
Catheters
Phlebography

Citer dette

Wanscher, M. R., Frifelt, J. J., Smith-Sivertsen, C., Andersen, A. P., Rasmussen, A. D., Sanchez Garcia, R., & Køhler, F. (1988). Thrombosis caused by polyurethane double-lumen subclavian superior vena cava catheter and hemodialysis. Critical Care Medicine, 16(6), 624-8.
Wanscher, Maria Rørbæk ; Frifelt, J J ; Smith-Sivertsen, C ; Andersen, A P ; Rasmussen, A D ; Sanchez Garcia, R ; Køhler, F. / Thrombosis caused by polyurethane double-lumen subclavian superior vena cava catheter and hemodialysis. I: Critical Care Medicine. 1988 ; Bind 16, Nr. 6. s. 624-8.
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title = "Thrombosis caused by polyurethane double-lumen subclavian superior vena cava catheter and hemodialysis",
abstract = "During an 18-month period, 82 consecutive patients (37 women and 45 men), with a mean age of 50 yr (range 15 to 74), underwent hemodialysis with 91 polyurethane double-lumen subclavian superior vena cava catheters inserted via the right subclavian vein. Upon catheter removal, venograms were performed in 53 which revealed thrombosis in 13. Autopsy performed in 13 other patients revealed thrombosis in three. Mean catheter duration was 27 days (range 1 to 138). Catheter duration was significantly (p less than .01) longer in the 16 cases complicated by thrombosis. There was no significant difference in the frequency of thrombosis between men and women. Two patients developed symptoms of subclavian vein occlusion after the creation of an arteriovenous fistula on the same side as a previous hemodialysis catheter. Overall, thrombosis was found in 23{\%} and increased with longer catheter duration. We recommend phlebography to exclude thrombosis before creating an arteriovenous fistula on the same side as the previous hemodialysis catheter. There was no case of clinical discernible pulmonary embolism.",
keywords = "Adolescent, Adult, Aged, Catheterization, Central Venous, Catheters, Indwelling, Female, Humans, Male, Middle Aged, Polyurethanes, Renal Dialysis, Subclavian Vein, Thrombosis, Vena Cava, Superior",
author = "Wanscher, {Maria R{\o}rb{\ae}k} and Frifelt, {J J} and C Smith-Sivertsen and Andersen, {A P} and Rasmussen, {A D} and {Sanchez Garcia}, R and F K{\o}hler",
year = "1988",
language = "English",
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journal = "Critical Care Medicine",
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Wanscher, MR, Frifelt, JJ, Smith-Sivertsen, C, Andersen, AP, Rasmussen, AD, Sanchez Garcia, R & Køhler, F 1988, 'Thrombosis caused by polyurethane double-lumen subclavian superior vena cava catheter and hemodialysis', Critical Care Medicine, bind 16, nr. 6, s. 624-8.

Thrombosis caused by polyurethane double-lumen subclavian superior vena cava catheter and hemodialysis. / Wanscher, Maria Rørbæk; Frifelt, J J; Smith-Sivertsen, C; Andersen, A P; Rasmussen, A D; Sanchez Garcia, R; Køhler, F.

I: Critical Care Medicine, Bind 16, Nr. 6, 1988, s. 624-8.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Thrombosis caused by polyurethane double-lumen subclavian superior vena cava catheter and hemodialysis

AU - Wanscher, Maria Rørbæk

AU - Frifelt, J J

AU - Smith-Sivertsen, C

AU - Andersen, A P

AU - Rasmussen, A D

AU - Sanchez Garcia, R

AU - Køhler, F

PY - 1988

Y1 - 1988

N2 - During an 18-month period, 82 consecutive patients (37 women and 45 men), with a mean age of 50 yr (range 15 to 74), underwent hemodialysis with 91 polyurethane double-lumen subclavian superior vena cava catheters inserted via the right subclavian vein. Upon catheter removal, venograms were performed in 53 which revealed thrombosis in 13. Autopsy performed in 13 other patients revealed thrombosis in three. Mean catheter duration was 27 days (range 1 to 138). Catheter duration was significantly (p less than .01) longer in the 16 cases complicated by thrombosis. There was no significant difference in the frequency of thrombosis between men and women. Two patients developed symptoms of subclavian vein occlusion after the creation of an arteriovenous fistula on the same side as a previous hemodialysis catheter. Overall, thrombosis was found in 23% and increased with longer catheter duration. We recommend phlebography to exclude thrombosis before creating an arteriovenous fistula on the same side as the previous hemodialysis catheter. There was no case of clinical discernible pulmonary embolism.

AB - During an 18-month period, 82 consecutive patients (37 women and 45 men), with a mean age of 50 yr (range 15 to 74), underwent hemodialysis with 91 polyurethane double-lumen subclavian superior vena cava catheters inserted via the right subclavian vein. Upon catheter removal, venograms were performed in 53 which revealed thrombosis in 13. Autopsy performed in 13 other patients revealed thrombosis in three. Mean catheter duration was 27 days (range 1 to 138). Catheter duration was significantly (p less than .01) longer in the 16 cases complicated by thrombosis. There was no significant difference in the frequency of thrombosis between men and women. Two patients developed symptoms of subclavian vein occlusion after the creation of an arteriovenous fistula on the same side as a previous hemodialysis catheter. Overall, thrombosis was found in 23% and increased with longer catheter duration. We recommend phlebography to exclude thrombosis before creating an arteriovenous fistula on the same side as the previous hemodialysis catheter. There was no case of clinical discernible pulmonary embolism.

KW - Adolescent

KW - Adult

KW - Aged

KW - Catheterization, Central Venous

KW - Catheters, Indwelling

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Polyurethanes

KW - Renal Dialysis

KW - Subclavian Vein

KW - Thrombosis

KW - Vena Cava, Superior

M3 - Journal article

VL - 16

SP - 624

EP - 628

JO - Critical Care Medicine

JF - Critical Care Medicine

SN - 0090-3493

IS - 6

ER -

Wanscher MR, Frifelt JJ, Smith-Sivertsen C, Andersen AP, Rasmussen AD, Sanchez Garcia R et al. Thrombosis caused by polyurethane double-lumen subclavian superior vena cava catheter and hemodialysis. Critical Care Medicine. 1988;16(6):624-8.