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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 68 No. 2, 2014.

Review article

TEMPORARY AND PERMANENT CENTRAL VENOUS CATHETERS FOR HEMODIALYSIS

VEDRAN PREMUŽIĆ orcid id orcid.org/0000-0001-6264-6809 ; Zagreb University Hospital Center, School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia
BORIS TOMAŠEVIĆ ; Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
GORANKA ERŽEN ; Zagreb University Hospital Center, School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia
KSENIJA MAKAR ; Department of Clinical Pharmacology, Zagreb, Croatia
BRUNA BRUNETTA-GAVRANIĆ ; Zagreb University Hospital Center, School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia
IGOR FRANCETIĆ ; Department of Clinical Pharmacology, Zagreb, Croatia
NIKOLINA BAŠIĆ-JUKIĆ ; Zagreb University Hospital Center, School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia
PETAR KES ; Zagreb University Hospital Center, School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia
BOJAN JELAKOVIĆ ; Zagreb University Hospital Center, School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia

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Abstract

The usage of temporary and permanent dialysis catheters for hemodialysis vascular access has been on continual increase. The reason for this increase is aging population on hemodialysis with blood vessels inappropriate for arteriovenous fistula creation. Complications may occur during catheter insertion as well as in the already inserted catheters, e.g., thrombosis and infections. The severity of complications is determined by experience of the operator as well as the quality and localization of blood vessels. Monitoring of dialysis catheter function, choice of the site of catheter insertion and methods of salvaging catheters from thrombosis and treating catheter-related local and systemic infections are described in this paper. Constant evaluation, proper care and hygiene of dialysis catheters are highly recommended.

Keywords

central venous catheters; hemodialysis; thrombosis; infection

Hrčak ID:

126809

URI

https://hrcak.srce.hr/126809

Publication date:

14.9.2014.

Article data in other languages: croatian

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