The Ohio State University, Columbus, OH.
Icahn School of Medicine at Mount Sinai, NY, NY.
Adv Chronic Kidney Dis. 2020 May;27(3):228-235. doi: 10.1053/j.ackd.2020.02.004.
Tunneled dialysis catheters remain the most common vascular access used to initiate hemodialysis. Unfortunately, their use is associated with higher morbidity and mortality when compared with arteriovenous fistulae or grafts. Different types of catheters with different designs and material properties function differently. Additional devices and medications can be used to decrease the rates of infection and thrombosis. The current available tunneled dialysis catheters remain far from the desired goal and innovation in the field of dialysis vascular access remains in dire need.
经皮隧道式透析导管仍然是最常用于开始血液透析的血管通路。不幸的是，与动静脉瘘或移植物相比，它们的使用与更高的发病率和死亡率相关。不同类型的导管具有不同的设计和材料特性，功能也不同。可以使用其他设备和药物来降低感染和血栓形成的发生率。目前可用的经皮隧道式透析导管远未达到理想目标，透析血管通路领域仍急需创新。
