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Double-Lumen, Silicone Rubber, Indwelling Venous CathetersA New Modality for Angioaccess
Harry Schanzer, MD;
Steven Kaplan, MD;
Juan Bosch, MD;
Sheldon Glabman, MD;
Lewis Burrows, MD
Arch Surg. 1986;121(2):229-232.
Abstract
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• This report presents our experience using double-lumen, silicone rubber, indwelling central venous catheters with a subcutaneous Dacron cuff as access for hemodialysis. Twenty-seven catheters were placed in 27 patients through venous cutdowns. A 10-cm subcutaneous tunnel was created leaving the Dacron cuff 2 cm from the external exit. Sixteen Raaf catheters (lumen diameter [LD], 1 mm), three double-lumen Hickman catheters (LD, 1.6 mm) and eight HemoCath catheters (LD, 2 mm) were used. The tip of the catheter was positioned fluoroscopically in either the superior vena cava or the right atrium. One hundred fifty-nine treatments were done with the Raaf catheters (mean blood flow [MBF], 188.1±26.4 mL/min); two of these catheters became obstructed and could not be used further. Three double-lumen Hickman catheters were used in 12 hemodialysis treatments (MBF, 216.3±27.1 mL/min). One hundred fifty-five treatments were done using the HemoCath catheters (MBF, 236.7±5.5 mL/min). The degree of recirculation of these catheters was 8.56%±4.34%. The major advantages of this modality include simplicity of introduction, lack of serious complications, no sacrifice of major arteries, no need for venipuncture, and potential use in either short- or long-term hemodialysis.
(Arch Surg 1986;121:229-232)
Author Affiliations
From the Departments of Surgery (Drs Schanzer, Kaplan, and Burrows) and Medicine (Drs Bosch and Glabman), Mount Sinai School of Medicine, New York.
Footnotes
Accepted for publication May 6, 1985.
Reprint requests to Department of Surgery, Mount Sinai School of Medicine, 1 Gustave L. Levy Pl, New York, NY 10029 (Dr Schanzer).
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