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2009 ; 9
(ä): 1294-9
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Dialysis catheters and their common complications: an update
#MMPMID19936565
Banerjee S
ScientificWorldJournal
2009[Nov]; 9
(ä): 1294-9
PMID19936565
show ga
Tunneled dialysis catheters (TDCs) are associated with the highest rate of
complications, morbidity, and mortality when compared to arteriovenous fistulas
or grafts, and this relates to higher costs in their management. Over time,
catheters are prone to higher rates of infection, thrombosis, and central venous
stenosis, and, thereby, catheter dysfunction. Lower blood flow rates are a
consequence of the dysfunction. Despite efforts to reduce incident and prevalent
rates of catheter use for dialysis by the National Kidney Foundation and Fistula
First Initiative, they remain a common modality of hemodialysis. The management
of common TDC-related complications is discussed, in addition to ways to reduce
and prevent morbidity associated with their use.