Fibrin sleeve stripping for salvage of failing hemodialysis catheters: technique and initial results. Radiology 1996 Jan;198(1):41-4
Date
01/01/1996Pubmed ID
8539402DOI
10.1148/radiology.198.3.41aScopus ID
2-s2.0-0030070208 (requires institutional sign-in at Scopus site) 116 CitationsAbstract
PURPOSE: To evaluate percutaneous fibrin sleeve stripping (PFSS) to prolong functional patency in failing hemodialysis catheters.
MATERIALS AND METHODS: Forty PFSS procedures were performed in 24 catheters in 23 consecutive patients with an inadequate blood flow rate (< 200 mL/min) during hemodialysis. The fibrin sleeve was mechanically stripped off the shaft of the catheter with a snare introduced via the common femoral vein. Durability of PFSS was determined with life-table analysis.
RESULTS: Median time from catheter placement to initial failure was 3.5 months (range, 5 days to 22 months). The technical success rate for PFSS was 100%; initial patency was restored in 39 of 40 procedures (98%), and no symptomatic pulmonary embolism occurred. Primary patency after single PFSS was 45% at 3 months and 28% at 6 months (median added patency, 2.8 months). Postprocedure secondary patency with multiple PFSS procedures was 83% at 3 months and 72% at 6 months (P = .01) (overall catheter patency, 90% at 6 months and 81% at 1 year [P < .001]).
CONCLUSION: Multiple PFSS procedures can prolong patency in hemodialysis catheters with a fibrin sleeve.
Author List
Crain MR, Mewissen MW, Ostrowski GJ, Paz-Fumagalli R, Beres RA, Wertz RAAuthor
Robert A. Beres MD Associate Professor in the Radiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Aged, 80 and over
Blood Flow Velocity
Catheterization, Central Venous
Catheters, Indwelling
Female
Fibrin
Humans
Male
Middle Aged
Punctures
Radiography, Interventional
Renal Dialysis
