Tuesday, 15 August 2023

Large-Bore Catheters as Vascular Access for Extracorporeal Detoxification Methods: Advantages, Disadvantages, and Necessary Improvements | Chapter 1 | Current Progress in Medicine and Medical Research Vol. 7

 After the inauguration of large-bore catheters accompanying the Seldinger technique into the vena cava superior via the within jugular veins in 1979, the benefits of this puncturing method versus the puncture of the femoral or subclavian veins were seen. However, obstacles and side effects of the puncture of the within jugular mood, such as faulty punctures, grieving, hematothorax, thrombosis and blames in catheter material and infections were noticed, too. Infections, thrombosis, and blockage are among ultimate frequent side effects guide blood-contacting catheters. These aftereffects are usually had connection with surface properties and the material of these catheters. Surface situation processes, such as ion implantation and ion beam helped deposition, and microdomain organized surfaces, could be used to lighten such complications. The problem rate was first retrospective about 28 %. A second backward-looking study of surface treated catheters accompanying silver versus prepared catheters showed 75 % decline in the contamination and thrombosis rate in the surface acted catheters. However, this cannot be confirmed with more free data of these subjects. One reason may be that in the surfaces discussed catheters only the outer surface was coated accompanying silver and the potential of contamination by management during situations. New materials and technologies that include the external and inner surface are inevitable to reduce the tremendous discomfort of cases and the high costs of the catheter-accompanying infections.

Author(s) Details:

Rolf Bambauer,
Formerly: Institute for Blood Purification, Homburg/Saar, Germany.

Ralf Schiel,
Clinic for metabolic diseases, Medigreif Inselklinik, Heringsdorf, Germany.

Octavio J. Salgado,
School of medicine, Universidad Católica de Cuenca, Ecuador.

Please see the link here: https://stm.bookpi.org/CPMMR-V7/article/view/11589

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