surface-treated versus untreated large-bore catheters as vascular access in hemodialysis and apheresis treatments表面处理和未经处理的把大导管在血液透析血管通路和apheresis治疗.pdfVIP

Hindawi Publishing Corporation International Journal of Nephrology Volume 2012, Article ID 956136, 8 pages doi:10.1155/2012/956136 Review Article Surface-Treated versus Untreated Large-Bore Catheters as Vascular Access in Hemodialysis and Apheresis Treatments Rolf Bambauer,1 Ralf Schiel,2 Carolin Bambauer,3 and Reinhard Latza4 1 Institute for Blood Purification, Frankenstraße 4, 66424 Homburg, Germany 2 Inselklinik Heringsdorf GmbH, 17424 Seeheilbad Heringsdorf, Germany 3 Main Hospital Darmstadt, 64283 Darmstadt, Germany 4 Laboratorium of Medicine, 66386 St Ingbert, Germany Correspondence should be addressed to Rolf Bambauer, rolf.bambauer@t-online.de Received 18 August 2011; Revised 7 January 2012; Accepted 25 January 2012 Academic Editor: Anil K. Agarwal Copyright © 2012 Rolf Bambauer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Catheter-related infections, thrombosis, and stenosis are among the most frequent complications associated with catheters, which are inserted in vessels. Surface treatment processes of the outer surface, such as ion-beam-assisted deposition, can be used to mitigate such complications. Methods. This retrospective study (1992–2007) evaluated silver-coated (54 patients) and noncoated (105 patients) implanted large-bore catheters used for extracorporeal detoxification. The catheters were inserted into the internal jugular or subclavian veins. After removal, the catheters were cultured for bacterial colonization using standard micro- biologic assays. They also were examined using scanning electron microscope. Results. The silver coated catheters showed a ten-