Kinnaert P, Hooghe L, De Pauw L, Dhaene M, Dratwa M, Vanherweghem J L
Département médico-chirurgical de Néphrologie, Dialyse et Transplantation--Cliniques Universitaires de Bruxelles Hôpital Erasme, Belgium.
ASAIO Trans. 1990 Apr-Jun;36(2):104-6. doi: 10.1097/00002480-199004000-00011.
Nineteen patients in whom it was impossible to create an arteriovenous (AV) fistula were hemodialyzed with adult Hickman catheters as the sole vascular access. Catheter survival was 45% at 1 year, with eight patients requiring two or three catheters for the continuation of their treatment. The probability of a patient still being dialyzed with a Hickman catheter at 1 year was 69%. The calculated risk of developing the most frequent complications was 0.07/100 catheter days for sepsis, 0.4/100 catheter days for thrombosis, and 0.06/100 catheter days for outflow obstruction. These figures seem quite acceptable, and the use of Hickman catheters as permanent vascular access is warranted in this category of difficult patient.
19例无法建立动静脉内瘘的患者使用成人Hickman导管作为唯一的血管通路进行血液透析。1年时导管留存率为45%，8例患者需要两根或三根导管以继续治疗。1年时仍使用Hickman导管进行透析的患者概率为69%。计算得出，最常见并发症的发生风险为：脓毒症0.07/100导管日，血栓形成0.4/100导管日，以及流出道梗阻0.06/100导管日。这些数据似乎相当可以接受，对于这类棘手的患者，使用Hickman导管作为永久性血管通路是合理的。
