Catheter thrombosis

被引:56
作者
Beathard, GA
机构
[1] Austin, TX 78731
关键词
D O I
10.1046/j.1525-139x.2001.00109.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Catheter malfunction due to poor flow is a common problem. When it occurs early, the cause is generally technical. Late occurrences are most often related to thrombus formation. Several types of thrombus may be seen, differing by location and supposed mechanism of formation. The most common offender, however, is the fibrin sheath thrombus. Prevention of catheter malfunction is an endeavor that continues to beg many questions. Catheter malfunction should be treated early to avoid inadequate dialysis. In the past, urokinase was a highly valuable aid to the nephrologist in managing this problem. Since this agent became unavailable a suitable alternative has not emerged. Recombinant tissue plasminogen activator (tPA) seems to be the most likely candidate for this role; however, it is not currently available in a packaging form that is optimal for this purpose. Currently. catheter exchange appears to be the best available alternative for this problem, which cannot yet be resolved by simpler means.
引用
收藏
页码:441 / 445
页数:5
相关论文
共 31 条
[1]  
Agraharkar M, 1995, ASAIO J, V41, P169
[2]   VERY LOW-DOSES OF WARFARIN CAN PREVENT THROMBOSIS IN CENTRAL VENOUS CATHETERS - A RANDOMIZED PROSPECTIVE TRIAL [J].
BERN, MM ;
LOKICH, JJ ;
WALLACH, SR ;
BOTHE, A ;
BENOTTI, PN ;
ARKIN, CF ;
GRECO, FA ;
HUBERMAN, M ;
MOORE, C .
ANNALS OF INTERNAL MEDICINE, 1990, 112 (06) :423-428
[3]   Prevention of central venous catheter associated thrombosis using minidose warfarin in patients with haematological malignancies [J].
Boraks, P ;
Seale, J ;
Price, J ;
Bass, G ;
Ethell, M ;
Keeling, D ;
Mahendra, P ;
Baglin, T ;
Marcus, R .
BRITISH JOURNAL OF HAEMATOLOGY, 1998, 101 (03) :483-486
[4]   Efficacy of percutaneous fibrin sheath stripping in restoring patency of tunneled hemodialysis catheters [J].
Brady, PS ;
Spence, LD ;
Levitin, A ;
Mickolich, CT ;
Dolmatch, BL .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1999, 173 (04) :1023-1027
[5]   The utility of brushing dysfunctional hemodialysis catheters [J].
Cox, K ;
Vesely, TM ;
Windus, DW ;
Pilgram, TK .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2000, 11 (08) :979-983
[6]   Fibrin sleeve stripping for salvage of failing hemodialysis catheters: Technique and initial results [J].
Crain, MR ;
Mewissen, MW ;
Ostrowski, GJ ;
PazFumagalli, R ;
Beres, RA ;
Wertz, RA .
RADIOLOGY, 1996, 198 (01) :41-44
[7]   Efficacy of tissue plasminogen activator administration on patency of hemodialysis access catheters [J].
Daeihagh, P ;
Jordan, J ;
Chen, J ;
Rocco, M .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2000, 36 (01) :75-79
[8]  
DUSZAK RL, 1995, RADIOLOGY, V197, P284
[9]   Giant right atrial thrombus: A life-threatening complication of long-term central venous access catheters [J].
Ellis, PK ;
Kidney, DD ;
Deutsch, LS .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1997, 8 (05) :865-868
[10]  
FINCHER ME, 1988, AM SURGEON, V54, P652