[Femoral indwelling silicone catheter: experience of three hemodialysis centers].
The use of femoral vein for temporary access in hemodialysis patients is still considered as a slightly desirable route. However recent technical improvements have made this approach more reliable because the new femoral catheters can be left in place for a long time and used for ambulatory treatment. We describe the experience of three hemodialysis centres with temporary indwelling femoral catheter made of silicone (SSL 1220 M, Medcomp) in 55 patients: 3 patients with acute renal failure, 1 requiring plasmapheresis and 51 with chronic renal failure but no other available vascular access. Sixty four catheters were implanted and left in place for a mean of 41.5 +/- 30 days. Complications (mechanical, thrombotic and infectious) were infrequent and never life-threatening. These results suggest that the femoral route can be used reliably for temporary access, and provides advantages over subclavian and jugular routes in certain circumstances.
Montagnac
R
R
Services de néphrologie-hémodialyse des Centres hospitaliers de: Troyes.
Bernard
C
C
Guillaumie
J
J
Hanhart
P
P
Clavel
P
P
Yazji
J
J
Martinez
L M
LM
Schillinger
F
F
D058186:Acute Kidney Injury / Q000628:therapy; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002408:Catheters, Indwelling; D005260:Female; D005268:Femoral Vein; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D006435:Renal Dialysis / Q000379:methods*; D012828:Silicones
D012828:Silicones