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vascular access in dialysis infection over dialysis adequacy

Mingxu Li, Zhiyong Zhang, Yongwu Yu, Hong Chen, Xinxin Li, Junhong Ma, Zhen Dong
INTRODUCTION: This study was conducted to compare catheter function, dialysis adequacy, and dialysis-related complications among patients receiving long-term dialysis via Palindrome catheter, Permcath catheter, and arteriovenous fistula (AVF) as vascular access. MATERIALS AND METHODS: Forty-three patients undergoing dialysis with Permcath catheter, 49 with Palindrome catheter, and 56 with AVF were recruited. Urea clearance (KT/V), urea reduction rate, and the highest blood flow at the arteriovenous junction during dialysis were determined during the dialysis sessions...
March 2014: Iranian Journal of Kidney Diseases
Raza Sayani, Muhammad Anwar, Tanveer-ul-Haq, Nauman Al-Qamari, Muhammad Asif Bilal
OBJECTIVE: To study the outcome of radiologically placed double lumen tunneled haemodialysis catheters for the management of renal failure. STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Interventional Suite of Radiology Department at the Aga Khan University Hospital, Karachi, from April 2010 to June 2011. METHODOLOGY: All consecutive patients who were referred to the department of radiology by the nephrologists for double lumen tunneled haemodialysis catheter (Permacath) placement during the study period were included...
December 2013: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Khalid Al Saran, Alaa Sabry, Ashraf H Hassan, Zakaria Al Halawany
INTRODUCTION: The quality of care provided to dialysis patients is under increasing scrutiny and systematic measurements of clinical performance, relying on indicators such as levels of Kt/V, hemoglobin, and serum albumin, have been implemented. METHODS: In this retrospective study we revised clinical and laboratory data of 146 chronic hemodialysis (HD) patients who met our inclusion criteria in the dialysis unit at Prince Salman Center for Kidney Diseases for a whole year - 2009...
2011: Renal Failure
J M Alcázar, M D Arenas, F Alvarez-Ude, R Virto, E Rubio, F Maduell, P Fernández-Crespo, M Angoso de Guzmán, R Delgado, C Santamaría, M A Alonso, S Anaya, A Bordils, A Antolín, E González-Parra, I Pérez, A Molina Ordás, M Fernández, P Molina, P Sánchez, F Barbosa, L Palomares Solla, J Lacueva, G Barril, J M Pastor, C Gámez Matías, P Mateos Hernández, M Fulquet Nicolás, F Ríos
INTRODUCTION: The Spanish Society of Nephrology "Quality in Nephrology Working Group" (QNWG) was created in 2002. The aims of this group are the identification, diffusion, implementation and consolidation of a systematic, objective and comprehensive set of quality performance measures (QPMs) to help along the improvement of patient care and outcomes on hemodialysis, by means of strategies of feedback and benchmarking, and the design of quality improvement projects. The objective of this study is to present the preliminary results of a set of quality performance measures obtained in a group of Spanish hemodialysis centers, as well as to evaluate the repercussion of the application of the aforementioned thecniques on the observed results...
2008: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Mohamed A Morsy, Asif Khan, Eric S Chemla
BACKGROUND: It is not uncommon for all usual upper limb autogenous access sites to fail, often in patients for whom neither peritoneal dialysis nor transplantation is an appropriate option. Axillary-axillary arteriovenous bypass grafts could be used as the last option before a thigh autogenous access even in case of unilateral central venous stenosis or obstruction. We describe our experience with this procedure in a series of patients. METHODS: A consecutive series of 18 patients for whom all possible arm accesses had failed and neither peritoneal dialysis nor transplantation was possible underwent a necklace graft formation over a 2...
November 2008: Journal of Vascular Surgery
George S Georgiadis, Miltos K Lazarides, Stelios A Panagoutsos, Konstantia M Kantartzi, Constantinos D Lambidis, Dimitrios N Staramos, Vassilios A Vargemezis
PURPOSE: This prospective observational study examined the effect of revision surgery in patients who present solely with complicated arteriovenous access (AVA)-related aneurysms. METHODS: The demographics and comorbid conditions of 44 hemodialysis access patients who presented with complicated true or false AVA-related aneurysms and underwent revision surgery during a 7-year period were prospectively entered into our AVA database. Also recorded were AVA characteristics before and after revision...
June 2008: Journal of Vascular Surgery
N Basic-Jukic, P Kes, I Juric, B Brunetta-Gavranic
Octogenarians represent the fastest growing group of patients on hemodialysis. These patients were previously treated with conservative measures, while they were believed to have too poor prognosis on renal replacement therapy. We investigated clinical characteristics and outcome of patients prospectively after at least 2 years of follow-up. Six male and six female patients who were older than 80 years at the start of hemodialysis were followed up. Their clinical characteristics, comorbidities, etiology of renal disease, nutritional status, complications, vascular access, hospitalizations, compliance and outcome were recorded...
July 2008: Archives of Gerontology and Geriatrics
O Ibrik, R Samon, R Roca, J Viladoms, J Mora
PURPOSE: Review a large experience in the placement of tunnelled catheters to assess the outcomes with twin catheter system as hemodialysis access. MATERIAL AND METHODS: We retrospectively reviewed clinical and hemodialysis data regarding of ESRD patients who were referred from 2 dialysis facilities for placement of tunnelled catheters hemodialysis access between 1996 March and 2005 July. For catheter insertion a real-time sonography technique was used (Site Rite II Dymax corporation) in performing vascular access procedure...
2006: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Neill D C Duncan, Seema Singh, Thomas D H Cairns, Martin Clark, Adil El-Tayar, Megan Griffith, Nadey Hakim, Mohamad Hamady, Adam G McLean, Vassilios Papalois, Andrew Palmer, David Taube
BACKGROUND: Vascular access is judged on its ability to provide good dialysis adequacy, its durability and complication rates. Formation of a functional arteriovenous fistula is desirable but difficult to achieve in a significant proportion of patients. We report the large-scale use of Tesio-Caths, a twin-line single-lumen central venous catheter, to maximize dialysis adequacy where formation of an arteriovenous fistula was not possible. METHODS: All patients who had Tesio-Caths inserted between 1 January 1999 and 1 October 2002 were studied...
November 2004: Nephrology, Dialysis, Transplantation
M D Arenas, F Alvarez-Ude, J J Egea, M T Gill, M L Amoedo, I Millán, A Soriano, A E Sirvent
UNLABELLED: One of the requirements of a health care quality management system is to be able to established clinical performance measures (CPM) for its key organisation processes. We described some of the performance measurement that has been used in our hemodialysis unit, since the implementation in the year 2001, of a Quality Management System (QMS). We analyze and compare the effect that the introduction of a ISO 9002 based QMS had in our CPM during the period 2001-2002 (post QMS) vs...
2004: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
M Gallieni, P A Conz, E Rizzioli, A Butti, D Brancaccio
A tunneled catheter is the alternative vascular access for those patients in need of hemodialysis who cannot undergo dialysis through an arterio-venous fistula or a vascular graft. This study was undertaken to evaluate the performance of the Ash Split Cath, a 14 French chronic hemodialysis catheter with D-shaped lumens and a Dacron cuff. After tunneling through a transcutaneous portion the catheter enters the venous system, where it splits into two separate limbs. Data regarding catheter positioning, function and adequacy of dialysis were collected from two hemodialysis facilities...
December 2002: International Journal of Artificial Organs
S Perini, J M LaBerge, J M Pearl, H L Santiestiban, H E Ives, R S Omachi, M Graber, M W Wilson, S R Marder, B R Don, R K Kerlan, R L Gordon
PURPOSE: Tunneled catheters are an alternative means of vascular access for patients in need of hemodialysis who cannot undergo dialysis through a surgical shunt. This study was undertaken to evaluate the performance of the Tesio dialysis catheter. MATERIALS AND METHODS: A prospective study of the Tesio catheter was performed. Follow-up data regarding catheter function and adequacy of dialysis were obtained from nine hemodialysis facilities. RESULTS: Seventy-nine Tesio catheters were placed in 71 patients...
April 2000: Radiology
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