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Chinese Journal of Blood Purification ›› 2002, Vol. 1 ›› Issue (10) : 9-11.

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Abstract

【Abstract】Objective To analysis the vascular catheter-related complications in retrospective way and to find the best way of deep venous catheterization for emergent hemodialysis(HD). Methods The in-hospital patients received deep venous catheterization for emergent HD because of acute or chronic renal failure from Jan 1993 to Jun 2000. Catheter locations were femoral, subclavian and internal jugular vein. Heparin was used for sealing catheters, with only once during inter-dialysis session or twice every day. Results There were 219 patients received 246 treatments with deep vein catheterization for the purpose of emergent HD. The average period of maintaining catheters was 19.6 days. The total incidence of complications was 28.0%. The average period of catheters maintaining for internal jugular vein was longer than that of femoral and subclavian vein (25.21±10.95) days, (16.89±8.11) days, P<0.05/(25.21±10.95)days, (19.85±12.10) days, P<0.05, respectively. The incidence of catheter-related complications of internal jugular vein (10.2%)was lower than that of femoral (30.4%, P<0.05) and subclavian vein (38.9%, P<0.05). Conclusion Internal jugular vein catheterization is the first choice of temporary access for emergent HD.