Percutaneous central venous catheterization can provide reliable temporary hemodialysis access. The current study compared the hemodynamic performance of 28 coaxial catheters to 27 side by side catheters. A total of 675 dialysis sessions were evaluated to assess the flow characteristics of these two designs. The results demonstrated that the side by side catheter provided greater cumulative blood flow with more favorable venous and arterial pressures. Nevertheless, the coaxial catheter performed satisfactorily and met the minimum standards for these devices.
JonesC.E., WaltersG.K.. Efficacy of the supraclavicular route for temporary hemodialysis access.South Med J1992; 85: 725–8.
2.
BregmanH., MillerK., BerryL.. Minimum performance standards for double-lumen subclavian cannulas for hemodialysis.Trans Am Soc Artif Intern Organs1986; 32: 500–2.
3.
de los AngelesA., LernerA., GoldsteinS.J., KramerM.S., RajaR.M.. Comparison of coaxial and side-by-side double lumen subclavian catheters with the single lumen catheter.Am J Kidney Dis1986; 7: 221–4.
TwardowskiZ.J., Van StoneJ.C., JonesM.E., KlusmeyerM.E., HaynieJ.D.. Blood recirculation in intravenous catheters for hemodialysis.J Am Soc Nephrol1993; 3: 1978–81.
7.
SombnolosK., NatseT., ZoumbaridisN., MavromatidisK., KaragianniA., FitiliC.. Efficacy of dual lumen lumen jugular venouscatheter hemodialysis when venous lumen is used as arterial lumen.Nephron1993; 65: 147–9.
8.
SilbermanH., BerneT.V., EscandonR.. Prospective evaluation of a double-lumen subclavian dialysis catheter for acute vascular access.Am Surgeon1992; 58: 443–45.
