Montagnac R, Bernard C, Guillaumie J, Hanhart P, Clavel P, Yazji J, Martinez L M, Schillinger F
Department of Nephrology-Hemodialysis, General Hospital of Troyes, France.
Nephrol Dial Transplant. 1997 Apr;12(4):772-5. doi: 10.1093/ndt/12.4.772.
The aim of this study is to describe the experience of three haemodialysis centres using indwelling femoral silicone catheter (model SSL 1220M, Medcomp, USA) in 55 patients, three with acute renal failure, one requiring plasmapheresis, and 51 with chronic renal failure but no other available vascular access. Sixty-four catheters were in place for a mean duration of 41.5 +/- 30 days. The rate of catheter-related complications, including mechanical problems, thromboses, and infections was low and they were never life-threatening. The results of the study suggest that femoral cannulation with modern flexible devices can be considered as a reliable temporary access, even for extended periods, with advantages exceeding those for subclavian and jugular routes.
本研究的目的是描述三个血液透析中心在55例患者中使用美国Medcomp公司的留置股静脉硅胶导管（型号SSL 1220M）的经验，其中3例为急性肾衰竭，1例需要进行血浆置换，51例为慢性肾衰竭但没有其他可用的血管通路。共留置了64根导管，平均留置时间为41.5±30天。导管相关并发症的发生率较低，包括机械问题、血栓形成和感染，且从未危及生命。研究结果表明，使用现代柔性装置进行股静脉插管可被视为一种可靠的临时血管通路，即使是长时间使用，其优势也超过锁骨下和颈内静脉途径。
