Hemodialysis central venous catheter dysfunction.
Despite aggressive efforts to increase autogenous fistula prevalence, catheters remain an essential access modality to a large percentage of the hemodialysis population. Central venous catheter dysfunction, which includes catheter-related bacteremia and thrombotic occlusion, comprises the majority of complications which affect dialysis adequacy, patient quality of life, patient survival, and the economics of health care. This review provides a comprehensive overview of hemodialysis central venous catheter dysfunction, its epidemiology and risk factors, and avenues of prevention and treatment. Novel directions for future investigation are also addressed.
Chan
Micah R
MR
Section of Nephrology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53792, USA. mr.chan@hosp.wisc.edu
D002405:Catheterization, Central Venous / Q000295:instrumentation*; D004868:Equipment Failure; D006801:Humans; D006435:Renal Dialysis / Q000295:instrumentation*; D012307:Risk Factors; D013927:Thrombosis / Q000209:etiology / Q000628:therapy