[Complications in hemodialysis performed by catheterization of the subclavian vein].
Hemodialysis was performed in 349 cases on 35 patients with 50 special subclavian catheters. The catheters were inserted infraclavicularly with Seldinger's technique. The cannulation period was 26.6 (1-148) days and on the average 7 hemodialyses (1-63) were performed through 1 catheter. The aspects of subclavian catheterization, indication and complications are described. In 3 patients suffering from chronic uremia the end of the catheter (3-5 cm) in the subclavian vein was found broken after 1-5-6 weeks long "single-needle" dialysis. The broken end became fixed into the segmental artery of the lung and did not cause any complication during the long (6-14-33 months) observation period, thus its open or transluminal removal was not considered necessary. In the opinion of the authors the "single-needle" hemodialysis should be avoided to prevent similar complications. The use of the "two-needle" treatment or a catheter with double lumen is advisable.
Szekely
J
J
Rácz
L
L
Karátson
A
A
D002404:Catheterization / Q000009:adverse effects*; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000209:etiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D009339:Needles; D011859:Radiography; D006435:Renal Dialysis / Q000009:adverse effects / Q000295:instrumentation*; D013350:Subclavian Vein
A véna subclavia katéterezésével végzett haemodialízis szövödményei.