Tesio catheter: Radiologically guided placement, mechanical performance, and adequacy of delivered dialysis

Sean Perini, Jeanne M. La Berge, Jeffrey M. Pearl, Hector L. Santiestiban, Harlan E. Ives, Rodney S. Omachi, Martha Graber, Mark W. Wilson, Shelley R. Marder, Burl R Don, Robert K. Kerlan, Roy L. Gordon

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

PURPOSE: Tunneled catheters are an alternative means of vascular access for patients in need of hemodialysis who cannot undergo dialysis through a surgical shunt. This study was undertaken to evaluate the performance of the Tesio dialysis catheter. MATERIALS AND METHODS: A prospective study of the Tesio catheter was performed. Follow-up data regarding catheter function and adequacy of dialysis were obtained from nine hemodialysis facilities. RESULTS: Seventy-nine Tesio catheters were placed in 71 patients. Immediate technical success was 99% (78 of 79 catheters). The procedure complication rate was 9% (seven catheters). Only two complications required intervention: one fatal air embolism and one chest all hematoma. Sixty-seven catheters in 60 patients were followed up for a total of 4,367 catheter days. Overall, catheter-related infection occurred in 9% (six of 67 catheters). Primary catheter patency was 87% at 1 week, 82% at 1 month, 72% at 3 months, and 66% at 6 months. Mean blood flow was 286 mL/min immediately after insertion, 301 mL/min at 3 months, and 306 mL/min at 6 months. Adequate dialysis dose as reflected by a urea reduction ratio of 60 or more or a urea kinetic modeling, or Kt/V, value of 1.2 or more was observed on at least one occasion for 74% and 76% of catheters, respectively. CONCLUSION: The Tesio catheter is a reasonable means of vascular access for patients who undergo dialysis but are not candidates for surgical shunt placement.

Original languageEnglish (US)
Pages (from-to)129-137
Number of pages9
JournalRadiology
Volume215
Issue number1
StatePublished - 2000
Externally publishedYes

Fingerprint

Dialysis
Catheters
Blood Vessels
Renal Dialysis
Urea
Catheter-Related Infections
Air Embolism
Hematoma
Thorax
Prospective Studies

Keywords

  • Catheters and catherization, complications
  • Catheters and catheterization, technology
  • Catheters and catheterizations, central venous access
  • Dialysis
  • Interventional procedures

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Perini, S., La Berge, J. M., Pearl, J. M., Santiestiban, H. L., Ives, H. E., Omachi, R. S., ... Gordon, R. L. (2000). Tesio catheter: Radiologically guided placement, mechanical performance, and adequacy of delivered dialysis. Radiology, 215(1), 129-137.

Tesio catheter : Radiologically guided placement, mechanical performance, and adequacy of delivered dialysis. / Perini, Sean; La Berge, Jeanne M.; Pearl, Jeffrey M.; Santiestiban, Hector L.; Ives, Harlan E.; Omachi, Rodney S.; Graber, Martha; Wilson, Mark W.; Marder, Shelley R.; Don, Burl R; Kerlan, Robert K.; Gordon, Roy L.

In: Radiology, Vol. 215, No. 1, 2000, p. 129-137.

Research output: Contribution to journalArticle

Perini, S, La Berge, JM, Pearl, JM, Santiestiban, HL, Ives, HE, Omachi, RS, Graber, M, Wilson, MW, Marder, SR, Don, BR, Kerlan, RK & Gordon, RL 2000, 'Tesio catheter: Radiologically guided placement, mechanical performance, and adequacy of delivered dialysis', Radiology, vol. 215, no. 1, pp. 129-137.
Perini S, La Berge JM, Pearl JM, Santiestiban HL, Ives HE, Omachi RS et al. Tesio catheter: Radiologically guided placement, mechanical performance, and adequacy of delivered dialysis. Radiology. 2000;215(1):129-137.
Perini, Sean ; La Berge, Jeanne M. ; Pearl, Jeffrey M. ; Santiestiban, Hector L. ; Ives, Harlan E. ; Omachi, Rodney S. ; Graber, Martha ; Wilson, Mark W. ; Marder, Shelley R. ; Don, Burl R ; Kerlan, Robert K. ; Gordon, Roy L. / Tesio catheter : Radiologically guided placement, mechanical performance, and adequacy of delivered dialysis. In: Radiology. 2000 ; Vol. 215, No. 1. pp. 129-137.
@article{a645917363a944c6af005cac23f4efd9,
title = "Tesio catheter: Radiologically guided placement, mechanical performance, and adequacy of delivered dialysis",
abstract = "PURPOSE: Tunneled catheters are an alternative means of vascular access for patients in need of hemodialysis who cannot undergo dialysis through a surgical shunt. This study was undertaken to evaluate the performance of the Tesio dialysis catheter. MATERIALS AND METHODS: A prospective study of the Tesio catheter was performed. Follow-up data regarding catheter function and adequacy of dialysis were obtained from nine hemodialysis facilities. RESULTS: Seventy-nine Tesio catheters were placed in 71 patients. Immediate technical success was 99{\%} (78 of 79 catheters). The procedure complication rate was 9{\%} (seven catheters). Only two complications required intervention: one fatal air embolism and one chest all hematoma. Sixty-seven catheters in 60 patients were followed up for a total of 4,367 catheter days. Overall, catheter-related infection occurred in 9{\%} (six of 67 catheters). Primary catheter patency was 87{\%} at 1 week, 82{\%} at 1 month, 72{\%} at 3 months, and 66{\%} at 6 months. Mean blood flow was 286 mL/min immediately after insertion, 301 mL/min at 3 months, and 306 mL/min at 6 months. Adequate dialysis dose as reflected by a urea reduction ratio of 60 or more or a urea kinetic modeling, or Kt/V, value of 1.2 or more was observed on at least one occasion for 74{\%} and 76{\%} of catheters, respectively. CONCLUSION: The Tesio catheter is a reasonable means of vascular access for patients who undergo dialysis but are not candidates for surgical shunt placement.",
keywords = "Catheters and catherization, complications, Catheters and catheterization, technology, Catheters and catheterizations, central venous access, Dialysis, Interventional procedures",
author = "Sean Perini and {La Berge}, {Jeanne M.} and Pearl, {Jeffrey M.} and Santiestiban, {Hector L.} and Ives, {Harlan E.} and Omachi, {Rodney S.} and Martha Graber and Wilson, {Mark W.} and Marder, {Shelley R.} and Don, {Burl R} and Kerlan, {Robert K.} and Gordon, {Roy L.}",
year = "2000",
language = "English (US)",
volume = "215",
pages = "129--137",
journal = "Radiology",
issn = "0033-8419",
publisher = "Radiological Society of North America Inc.",
number = "1",

}

TY - JOUR

T1 - Tesio catheter

T2 - Radiologically guided placement, mechanical performance, and adequacy of delivered dialysis

AU - Perini, Sean

AU - La Berge, Jeanne M.

AU - Pearl, Jeffrey M.

AU - Santiestiban, Hector L.

AU - Ives, Harlan E.

AU - Omachi, Rodney S.

AU - Graber, Martha

AU - Wilson, Mark W.

AU - Marder, Shelley R.

AU - Don, Burl R

AU - Kerlan, Robert K.

AU - Gordon, Roy L.

PY - 2000

Y1 - 2000

N2 - PURPOSE: Tunneled catheters are an alternative means of vascular access for patients in need of hemodialysis who cannot undergo dialysis through a surgical shunt. This study was undertaken to evaluate the performance of the Tesio dialysis catheter. MATERIALS AND METHODS: A prospective study of the Tesio catheter was performed. Follow-up data regarding catheter function and adequacy of dialysis were obtained from nine hemodialysis facilities. RESULTS: Seventy-nine Tesio catheters were placed in 71 patients. Immediate technical success was 99% (78 of 79 catheters). The procedure complication rate was 9% (seven catheters). Only two complications required intervention: one fatal air embolism and one chest all hematoma. Sixty-seven catheters in 60 patients were followed up for a total of 4,367 catheter days. Overall, catheter-related infection occurred in 9% (six of 67 catheters). Primary catheter patency was 87% at 1 week, 82% at 1 month, 72% at 3 months, and 66% at 6 months. Mean blood flow was 286 mL/min immediately after insertion, 301 mL/min at 3 months, and 306 mL/min at 6 months. Adequate dialysis dose as reflected by a urea reduction ratio of 60 or more or a urea kinetic modeling, or Kt/V, value of 1.2 or more was observed on at least one occasion for 74% and 76% of catheters, respectively. CONCLUSION: The Tesio catheter is a reasonable means of vascular access for patients who undergo dialysis but are not candidates for surgical shunt placement.

AB - PURPOSE: Tunneled catheters are an alternative means of vascular access for patients in need of hemodialysis who cannot undergo dialysis through a surgical shunt. This study was undertaken to evaluate the performance of the Tesio dialysis catheter. MATERIALS AND METHODS: A prospective study of the Tesio catheter was performed. Follow-up data regarding catheter function and adequacy of dialysis were obtained from nine hemodialysis facilities. RESULTS: Seventy-nine Tesio catheters were placed in 71 patients. Immediate technical success was 99% (78 of 79 catheters). The procedure complication rate was 9% (seven catheters). Only two complications required intervention: one fatal air embolism and one chest all hematoma. Sixty-seven catheters in 60 patients were followed up for a total of 4,367 catheter days. Overall, catheter-related infection occurred in 9% (six of 67 catheters). Primary catheter patency was 87% at 1 week, 82% at 1 month, 72% at 3 months, and 66% at 6 months. Mean blood flow was 286 mL/min immediately after insertion, 301 mL/min at 3 months, and 306 mL/min at 6 months. Adequate dialysis dose as reflected by a urea reduction ratio of 60 or more or a urea kinetic modeling, or Kt/V, value of 1.2 or more was observed on at least one occasion for 74% and 76% of catheters, respectively. CONCLUSION: The Tesio catheter is a reasonable means of vascular access for patients who undergo dialysis but are not candidates for surgical shunt placement.

KW - Catheters and catherization, complications

KW - Catheters and catheterization, technology

KW - Catheters and catheterizations, central venous access

KW - Dialysis

KW - Interventional procedures

UR - http://www.scopus.com/inward/record.url?scp=0343618647&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0343618647&partnerID=8YFLogxK

M3 - Article

C2 - 10751478

AN - SCOPUS:0343618647

VL - 215

SP - 129

EP - 137

JO - Radiology

JF - Radiology

SN - 0033-8419

IS - 1

ER -