Chronic Kidney Disease and Dialysis Patient Care – What the Generalist Should Know. Nephrology Topic Review Clarian Arnett Hospital Lafayette Medical Education Foundation January 18, 2011. Stephen R. Ash, MD, FACP Clarian Arnett Health Director of Dialysis, Wellbound Director of R&D
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Nephrology Topic Review
Clarian Arnett Hospital
Lafayette Medical Education Foundation
January 18, 2011
Stephen R. Ash, MD, FACP
Clarian Arnett Health
Director of Dialysis, Wellbound
Director of R&D
Ash Access Technology and HemoCleanse, Inc.
Note enlargement of radial artery-to provide a liter per minute blood flow
Tips are at the entry to the heart
Natalie Cole, 2009
Exchange? Balloon sheath? Brush?
30 minutes? Overnight?
Centros Tips form a flat plane; ports are held in middle of vein
The catheter tips are positioned in the lower third of the SVC rather than in the atrium…
The ports are held in the middle of the SVC and away from the vein wall. These CT’s were performed after 4 months of catheter use.
Flow rate of the CentrosTM Catheters was 400 ml/min, constant over time (7 weeks) and higher than with current Dual Lumen tunneled dialysis catheters.