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Hemodialysis Catheter Placement and Management¹

¹ From the Department of Radiology, University Hospital Room 0279, 550 N University Blvd, Indianapolis, IN 46202-5253. Received June 18, 1999; revision requested August 2; revision received August 30; accepted September 21. Supported in part by a grant from Medcomp, Harleysville, Pa, and Bard Access Systems, Salt Lake City, Utah. Address correspondence to the author (e-mail: streroto@iupui.edu).

Abstract

Hemodialysis catheters are an integral part of the delivery of hemodialysis. While catheters play an important role in the patient undergoing hemodialysis, catheters should be considered a bridge to more permanent forms of dialysis access in most patients. Recent advances in catheter technology, access techniques, and choice of access sites have improved outcomes associated with hemodialysis catheters. The placement and management of hemodialysis catheters by interventional radiologists have played an important role in these advances, and interventional radiologists are taking an increasingly active role in the research and development of catheters and catheter insertion techniques. The present status of hemodialysis catheters is reviewed.

Index terms: Catheters and catheterization, 907.1269, 946.1269 • Catheters and catheterization, central venous access, 907.1269, 946.1269 • Catheters and catheterization, complications, 907.29, 907.442, 946.29, 946.442 • Catheters and catheterization, technology • Dialysis • State of the Art

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