[Skip to Content]
[Skip to Content Landing]
Article
February 1986

Double-Lumen, Silicone Rubber, Indwelling Venous CathetersA New Modality for Angioaccess

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.

Arch Surg. 1986;121(2):229-232. doi:10.1001/archsurg.1986.01400020115014
Abstract

• 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)

×