• J Vasc Access · Oct 2010

    Review

    Endovascular treatment of dysfunctional hemodialysis catheters.

    • Lars Kamper, Werner Piroth, and Patrick Haage.
    • Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Wuppertal, University Hospital Witten/Herdecke, Wuppertal, Germany. lars.kamper@helios-kliniken.de
    • J Vasc Access. 2010 Oct 1; 11 (4): 263-8.

    AbstractHemodialysis-catheter dysfunction is a common clinical condition in nephrology. Like other central venous devices, hemodialysis-catheters show a disposition for partial or complete thrombotic obstruction and fibrin sleeve formation. Thrombolytic infusion is recommended as therapy of first choice. Alternative interventional strategies include over-the-wire catheter exchange, mechanical fibrin sleeve stripping with a snare and angioplastic sleeve disruption. Those approaches show extremely variable results with mediocre long-term patency rates. Therefore, catheter-avoiding strategies should be considered in detail and AV-fistula creation preferred.

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