Key result
Doppler surveillance detects subclavian vein thrombosis in 6% of hemodialysis patients, guiding successful streptokinase recanalization.
Why the study?
Improving diagnosis and treatment of subclavian vein thrombosis associated with subclavian cannulation for hemodialysis was needed.
Does Doppler surveillance and local streptokinase infusion improve the detection and management of subclavian vein thrombosis in patients with hemodialysis catheters?
Population
50 consecutive patients with subclavian hemodialysis catheters over 1 year
Comparison
Doppler examination and clinical inspection versus X-ray venograms for diagnosis; local streptokinase infusion for treatment
Design
Observational cohort study
Follow-up
1 year
Authors
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Arm edema and lost bruit may signal subclavian thrombosis post-cannulation; leaves open prospective validation before routine use.
Observational (n=50)
Does Doppler surveillance and local streptokinase infusion improve the detection and management of subclavian vein thrombosis in patients with hemodialysis catheters?
Doppler surveillance is a promising tool for detecting subclavian vein thrombosis from hemodialysis catheters, and local streptokinase infusion is effective for recanalization.
Brady et al. (2008) conducted an observational in Subclavian vein thrombosis associated with subclavian cannulation for hemodialysis (n=50). Doppler examination and clinical inspection was evaluated on Detection of subclavian vein obstruction. Doppler surveillance correctly identified 3 cases of subclavian vein thrombosis among 50 hemodialysis patients, all of which were successfully recanalized with local streptokinase.
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