کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3846847 | 1248345 | 2009 | 10 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Tunneled Dialysis Catheters: Recent Trends and Future Directions
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موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای کلیوی
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چکیده انگلیسی
Despite aggressive efforts to increase autogenous fistula prevalence primarily from recommendations by the NKF and the Fistula First National Vascular Access Improvement Initiative, catheters remain an essential access modality for a large percentage of the hemodialysis population. Tunneled dialysis catheters or chronic catheters are associated with a multitude of complications including infections, stenosis, thrombosis, and increased morbidity and mortality even after adjustment for potential confounding variables. Also, given the blood flow rates of catheters, dialysis adequacy is compromised as compared with arteriovenous fistulae and arteriovenous grafts. This review endeavors to provide an update on catheter outcomes in the Fistula First and Kidney Disease Outcomes Quality Initiative era in relation to the increasing fistula prevalence and decline in graft placements. The conflicting view of whether catheters are increasing concurrently with the increase in fistula prevalence is discussed. The management of tunneled dialysis catheter-related complications is considered with a review of the most recent data. Future research strategies and innovations in catheter design are also addressed. This review provides a comprehensive update of tunneled hemodialysis catheters, their necessity and pitfalls, and novel directions for future investigation.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Advances in Chronic Kidney Disease - Volume 16, Issue 5, September 2009, Pages 386-395
Journal: Advances in Chronic Kidney Disease - Volume 16, Issue 5, September 2009, Pages 386-395
نویسندگان
Micah R. Chan, Alexander S. Yevzlin,