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Jeffrey L. Kaufman, MD; Kerry M. Fagelman, MD; Alan J. Spotnitz, MD
Rutgers Medical School University of Medicine and Dentistry of New Jersey New Brunswick

JAMA. 1984;251(17):2210.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

We agree with Dr Barton and colleagues¹ that the central venous hemodialysis catheter appears to be associated with greater numbers of complications because of its relative stiffness in comparison with standard central venous catheters.

Within a three-year period, approximately 75 subclavian or internal jugular venous dialysis catheters have been inserted at Middlesex General University Hospital. There has been one catheter-related perforation into the pericardium at the junction of the superior vena cava and right atrium in a 12-year-old patient with hemolytic uremic syndrome. The patient recovered and is alive and well.

A second patient demonstrated two signs of the possibility of future catheter tip erosion. This adult had undergone maintenance hemodialysis through a left subclavian dialysis catheter while awaiting maturation of a chronic access fistula. She had two separate catheter placements, the first of which was associated with impingement of the tip on the right lateral wall . . . [Full Text PDF of this Article]

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