An innovative approach to temporary hemodialysis vascular access

Jamie Lynn Ross, C. Staffeld, J. S. Lindberg, M. Lee

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

The National Kidney Foundation Dialysis Outcomes Quality Initiative (NKF-DOQI) has set down explicit and extensive guidelines for temporary and permanent hemodialysis vascular access. It is now incumbent on the nephrologist to ensure compliance to these standards. Two of our interventional nephrologists performed 402 central venous access procedures over a 12-month period (November 1996 to October 1997) to test the hypothesis that increased control over insertion technique would improve outcome. All but eight of the procedures were successfully completed, resulting in a failure rate of 2%. The expected serious procedural complication rate outlined in the NKF-DOQI standards is 2%. Our complication rate was 0.7% if all procedures were accounted for and 0.89% for just internal jugular and subclavian catheters. We conclude that the use of interventionally trained nephrologists and strict control of technique can improve outcome in temporary vascular access procedures.

Original languageEnglish (US)
Pages (from-to)718-721
Number of pages4
JournalAmerican Journal of Kidney Diseases
Volume33
Issue number4
StatePublished - 1999
Externally publishedYes

Keywords

  • Central venous catheters
  • Hemodialysis
  • Temporary vascular access

ASJC Scopus subject areas

  • Nephrology

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