Labeeuw M, Caillette A, Gimenez E, Tabakian A
Unité Néphrologie et de traitement de l'insuffisance rénale, Hôpital E. Herriot, Lyon.
Nephrologie. 1994;15(2):91-4.
Central venous access is an important component of hemodialysis. New materials are presently available which, during the last years, have allowed for a long term use of central venous catheters (CVC). While patients with failing fistulas still represent the majority of cases, a growing number of patients are given CVC as a primary vascular access for hemodialysis. The experience is however too short and further studies should address the question of maintenance, as well as the cost-benefit ratio of such permanent CVC.
中心静脉通路是血液透析的一个重要组成部分。目前有一些新材料,在过去几年中,这些材料使得中心静脉导管(CVC)能够长期使用。虽然内瘘功能衰竭的患者仍然占大多数病例,但越来越多的患者将CVC作为血液透析的主要血管通路。然而,这方面的经验还很有限,进一步的研究应探讨此类永久性CVC的维护问题以及成本效益比。