Aoife Keeling MD, PRESENTER: Nothing to Disclose

Abstract: HTML Purpose: To compare the AshSplit catheter with the Permcath catheter regarding duration and haemodialysis efficiency. Methods and Materials: A retrospective analysis of 187 consecutive patients (59% male, age range 17 - 79 years) requiring radiological insertion of haemodialysis catheters was performed. Catheters were placed using a combination of ultrasonic and fluroscopic guidance and tunneled appropriately. The information obtained included catheter insertion sites, catheter duration and final outcome. Results: 233 catheters were placed in 187 patients over a 2 year period. Patients received either an AshSplit (96 patients, 119 catheters) or a Permcath (91 patients, 114 catheters). RIJ access was used in 66.5%. Insertion complications occurred in 14 patients overall (7.5%). AshSplit (7.3%): 1 cardiac arrest (successfully resuscitated), pneumothorax (n=1), local haemorrhage (n=2), sepsis (n=3), and Permcath (7.7%): local haemorrhage (n=3) and sepsis (n=4). Inital flow rates averaged 220 - 240 mls/min for both catheters. Follow up of catheter viability for 42 months yielded a mean AshSplit catheter duration of 243 days (range 4 - 932 days) and 251 days (range 1 - 1,396 days) for Permcath, (p=0.0541). Conclusion: The AshSplit provides comparable flow rates to the Permcath with similar catheter dwell times.       Questions about this event email: aoifekeeling@hotmail.com

Keeling MD, A, A Comparison of the Ashsplit Catheter with the Permcath for Catheter Haemodialysis.  Radiological Society of North America 2003 Scientific Assembly and Annual Meeting, November 30 - December 5, 2003 ,Chicago IL. http://archive.rsna.org/2003/3105887.html