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Vascular access in therapeutic apheresis: Update 2013
Author(s) -
Golestaneh Ladan,
Mokrzycki Michele H.
Publication year - 2013
Publication title -
journal of clinical apheresis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.697
H-Index - 46
eISSN - 1098-1101
pISSN - 0733-2459
DOI - 10.1002/jca.21267
Subject(s) - medicine , apheresis , vascular access , intensive care medicine , plateletpheresis , surgery , immunology , platelet , hemodialysis
This review addresses the types of vascular access available for patients who need therapeutic apheresis ( TA ). As in hemodialysis, vascular access for TA is chosen based on type of procedure prescribed, the patient's vascular anatomy, the acuity, frequency and duration of treatment, and the underlying disease state. The types of access available include peripheral vein cannulation, central venous catheters: including nontunneled and tunneled catheters, arterio‐venous grafts and arterio‐venous fistulas. Peripheral veins and central venous catheters are most frequently utilized for the acute administration of TA , and may be used over a period of weeks to months. Arterio‐venous grafts and fistulas are not commonly used in TA procedures, but are an option in patients with an anticipated long course of TA , usually for a period of several months or years. The types and frequency of complications associated with various types of vascular access, including: access dysfunction and infections are reviewed, and strategies for their prevention and management are offered. J. Clin. Apheresis 28:64–72, 2013. © 2013 Wiley Periodicals, Inc.