Fibrin sleeve stripping for salvage of failing hemodialysis catheters: technique and initial results.
Radiology
; 198(1): 41-4, 1996 Jan.
Article
in En
| MEDLINE
| ID: mdl-8539402
ABSTRACT
PURPOSE:
To evaluate percutaneous fibrin sleeve stripping (PFSS) to prolong functional patency in failing hemodialysis catheters. MATERIALS ANDMETHODS:
Forty PFSS procedures were performed in 24 catheters in 23 consecutive patients with an inadequate blood flow rate (< 200 mL/min) during hemodialysis. The fibrin sleeve was mechanically stripped off the shaft of the catheter with a snare introduced via the common femoral vein. Durability of PFSS was determined with life-table analysis.RESULTS:
Median time from catheter placement to initial failure was 3.5 months (range, 5 days to 22 months). The technical success rate for PFSS was 100%; initial patency was restored in 39 of 40 procedures (98%), and no symptomatic pulmonary embolism occurred. Primary patency after single PFSS was 45% at 3 months and 28% at 6 months (median added patency, 2.8 months). Postprocedure secondary patency with multiple PFSS procedures was 83% at 3 months and 72% at 6 months (P = .01) (overall catheter patency, 90% at 6 months and 81% at 1 year [P < .001]).CONCLUSION:
Multiple PFSS procedures can prolong patency in hemodialysis catheters with a fibrin sleeve.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Catheters, Indwelling
/
Radiography, Interventional
/
Renal Dialysis
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Radiology
Year:
1996
Document type:
Article
Affiliation country:
Estados Unidos