THROMBUS RISK IN CHRONIC HEMODIALYSIS PATIENTS UNDERGOING SUBCLAVIAN VEIN CATHETERISATION
LEVENT BOZATLI1, FAİK ÇELİK1, BİLGİN ÇAPANOĞLU2, İNKILAP TAŞBAŞI3, ÖZGÜR EKİNCİ1
1Göztepe SSK Hastanesi, Genel Cerrahi Kliniği, İSTANBUL
2Göztepe SSK Hastanesi, İç Hastalıkları Kliniği, İSTANBUL
3Göztepe SSK Hastanesi, Radyoloji Kliniği, İSTANBUL
Abstract
97 subclavian cathethers were inserted in 70 chronic hemodialysis patients that were treated in Göztepe Social Security Hospital between Jan 1, 1993 and Feb 1, 1994. During the follow-up of patients, 12 cathethers were replaced by new ones due to cathether obstruction; 10, due to infection; 3, due to partial or total intravascular thrombus; 2, due to cathether type. 5 of cathether obstructions were accompanied also by intravascular thrombus.
Doppler ultrasonography was used for diagnosis of thrombi, during the follow up of patients. As many of thrombi in hemodialysis patients with subclavian cathethers are asymptomatic, routine Doppler ultrasonography will provide early diagnosis and treatment of these patients.