Jean G, Chazot C, Vanel T
Centre Hospitalier Lyon Sud.
Nephrologie. 1994;15(2):81-2.
Femoral or subclavian central venous catheters are commonly used for temporary vascular access in haemodialysis. We used 36 tunnelized siliconed double lumen catheter (Quinton Permcath or Hickman Bard), most of them in right internal jugular percutaneously. Indication for this catheter were acute or chronic renal failure, plasma exchange, rescue of arterio venous fistula or peritoneal dialysis. Insertion incidents were minors (local haematoma), mean functional time was 51 days. Catheters were changed in 5 cases of infection, 3 cases of obstruction and in 2 accidental remove. Insertion facility, low morbidity, potentially long time use, high blood flow rate with low recirculation argue for this expensive material.
股静脉或锁骨下中心静脉导管常用于血液透析的临时血管通路。我们使用了36根带隧道的硅胶双腔导管（昆顿Permcath或希克曼巴德导管），其中大部分经皮插入右侧颈内静脉。使用这种导管的指征包括急性或慢性肾衰竭、血浆置换、动静脉内瘘挽救或腹膜透析。插入相关事件轻微（局部血肿），平均使用时间为51天。5例因感染、3例因堵塞以及2例因意外拔除而更换导管。这种昂贵材料因其插入简便、发病率低、潜在使用时间长、血流量高且再循环率低而具有优势。
