Vascular access in therapeutic apheresis: Update 2013
- 19 February 2013
- journal article
- case report
- Published by Wiley in Journal of Clinical Apheresis
- Vol. 28 (1), 64-72
- https://doi.org/10.1002/jca.21267
Abstract
This review addresses the types of vascular access available for patients who need therapeutic apheresis (TA). As in hemodialysis, vascular access for TA is chosen based on type of procedure prescribed, the patient's vascular anatomy, the acuity, frequency and duration of treatment, and the underlying disease state. The types of access available include peripheral vein cannulation, central venous catheters: including nontunneled and tunneled catheters, arterio‐venous grafts and arterio‐venous fistulas. Peripheral veins and central venous catheters are most frequently utilized for the acute administration of TA, and may be used over a period of weeks to months. Arterio‐venous grafts and fistulas are not commonly used in TA procedures, but are an option in patients with an anticipated long course of TA, usually for a period of several months or years. The types and frequency of complications associated with various types of vascular access, including: access dysfunction and infections are reviewed, and strategies for their prevention and management are offered. J. Clin. Apheresis 28:64–72, 2013.Keywords
This publication has 86 references indexed in Scilit:
- Anti-microbial locks increase the prevalence of Staphylococcus aureus and antibiotic-resistant Enterobacter: observational retrospective cohort studyNephrology Dialysis Transplantation, 2012
- Guidelines for the Prevention of Intravascular Catheter-related InfectionsClinical Infectious Diseases, 2011
- Prevention and management of catheter-related infection in hemodialysis patientsKidney International, 2011
- Emergence of Gentamicin-Resistant Bacteremia in Hemodialysis Patients Receiving Gentamicin Lock Catheter ProphylaxisClinical Journal of the American Society of Nephrology, 2010
- A Phase III, Randomized, Double-Blind, Placebo-Controlled Study of Tenecteplase for Improvement of Hemodialysis Catheter FunctionClinical Journal of the American Society of Nephrology, 2010
- Does Heparin Coating Improve Patency or Reduce Infection of Tunneled Dialysis Catheters?Clinical Journal of the American Society of Nephrology, 2009
- Outcomes of Brachiocephalic Fistulas, Transposed Brachiobasilic Fistulas, and Upper Arm GraftsClinical Journal of the American Society of Nephrology, 2009
- Antimicrobial Lock Solutions for the Prevention of Infections Associated with Intravascular Catheters in Patients Undergoing Hemodialysis: Systematic Review and Meta‐analysis of Randomized, Controlled TrialsClinical Infectious Diseases, 2008
- Citrate 4% versus Heparin and the Reduction of Thrombosis Study (CHARTS)Clinical Journal of the American Society of Nephrology, 2008
- Percutaneous fibrin sleeve stripping of failing haemodialysis cathetersNephrology Dialysis Transplantation, 1999