title: Use of Dacron cuffed silicone catheters as long-term hemodialysis access.
abstract: Sixty-five Dacron cuffed, dual lumen, silicone central venous dialysis catheters (Quinton PermCath, Seattle, WA) were inserted in 51 patients as the sole form of permanent access for chronic hemodialysis. Six and 12 month actuarial survival rates of patients for all catheters were 53% and 35%, respectively. When calculations included revisions, 6 and 12 month actuarial catheter survival rates were 61% and 43%, respectively. The major limiting factors in survival using long-term catheters remain infection and thrombosis. Dacron cuffed, dual lumen, central venous, dialysis catheters can provide long-term vascular access for hemodialysis in high risk patients.
authors.affiliation: Division of Organ Transplantation, New England Deaconess Hospital, Boston, Massachusetts 02215.
authors.forename: D
authors.initials: D
authors.lastname: Shaffer
authors.forename: P N
authors.initials: PN
authors.lastname: Madras
authors.forename: M E
authors.initials: ME
authors.lastname: Williams
authors.forename: J A
authors.initials: JA
authors.lastname: D'Elia
authors.forename: A
authors.initials: A
authors.lastname: Kaldany
authors.forename: A P
authors.initials: AP
authors.lastname: Monaco
mesh_terms: D000206:Actuarial Analysis; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007601:Jugular Veins; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D006435:Renal Dialysis; D012307:Risk Factors; D012828:Silicones; D013350:Subclavian Vein; D013997:Time Factors
chemical_list: D011093:Polyethylene Terephthalates; D012828:Silicones