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Perit Dial Int 1(6): 97-99
1981
© 1981 International Society for Peritoneal Dialysis
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REVIEWS AND ORIGINAL ARTICLES

THE SUBCLAVIAN CANNULA: TEMPORARY VASCULAR ACCESS FOR HEMODIALYSIS WHEN LONG TERM PERITONEAL DIALYSIS HAS TO BE INTERRUPTED

Robert Uldall and Paul Williams

From the Division of Nephrology Toronto Western Hospital Toronto, Canada MST 288

On occasions, it may be necessary to interrupt long-term peritoneal dialysis -now most commonly CAPD, because of peritonitis, mechanical and catheter problems, or to permit abdominal surgery, The most convenient way to provide vascular access for hemodialysis during these interruptions is by means of the subclavian cannula, This paper describes our experience with 41 peritoneal di, alysis patients who required hemodialysis over the last three years, Usually the complications of subclavian cannulation are not serious and can be kept to a minimum by obeying a few simple rules, This technique offers great advantages to both patient and staff, but the most important are conservation of the patient's blood vessels and the avoidence of repeated femoral punctures.







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