Clot accumulation at the tip of hemodialysis catheters in a large animal model.

BACKGROUND: The issue of side holes in the tips of the tunneled cuffed central venous catheters is complex and has been subject to longstanding debate. This study sought to compare the clotting potential of the side-hole-free Pristine hemodialysis catheter with that of a symmetric catheter with side holes. METHODS: Both jugular veins of five goats were catheterized with the two different catheters. The catheters were left in place for 4 weeks and were flushed and locked with heparin thrice weekly. The aspirated intraluminal clot length was assessed visually prior to each flushing. In addition, the size and weight of the clot were recorded upon catheter extraction at the end of the 4-week follow-up. RESULTS: The mean intraluminal clot length observed during the entire study follow-up measured up to a mean of 0.66 cm in the GlidePath (95% CI, 0.14-1.18) and 0.19 cm in the Pristine hemodialysis catheter (95% CI, -0.33 to 0.71), the difference being statistically significant (p = 0.026). On average, 0.01 g and 0.07 g of intraluminal clot were retrieved from the Pristine and GlidePath catheters, respectively (p = 0.052). CONCLUSION: The Pristine hemodialysis catheter was largely superior to a standard side hole catheter in impeding clot formation, and, contrary to the side hole catheter, allowed for complete aspiration of the intraluminal clot.

Thermal imaging method for estimating oxygen saturation.

The objective of this study is to develop a minimal invasive thermal imaging method to determine the oxygenation level of an internal tissue. In this method, the tissue is illuminated using an optical fiber by several wavelengths in the visible and near-IR range. Each wavelength is absorbed by the tissue and thus causes increase in its temperature. The temperature increase is observed by a coherent waveguide bundle in the mid-IR range. The thermal imaging of the tissue is done using a thermal camera through the coherent bundle. Analyzing the temperature rise allows estimating the tissue composition in general, and specifically the oxygenation level. Such a system enables imaging of the temperature within body cavities through a commercial endoscope. As an intermediate stage, the method is applied and tested on exposed skin tissue. A curve-fitting algorithm is used to find the most suitable saturation value affecting the temperature function. The algorithm is tested on a theoretical tissue model with various parameters, implemented for this study, and on agar phantom models. The calculated saturation values are in agreement with the real saturation values.