Use of a dual lumen port for automated red cell exchange in adults with XXXX .

@entity1 @entity137 @entity1792 @entity4085 @entity3458
UNASSIGNED: @entity4085 ( @entity4085 ) is a common procedure in adults with @entity3458 ( @entity3458 ). Implantable dual lumen Vortex (DLV) ports can be used for @entity4085 in @entity1 with poor peripheral venous access. We performed a retrospective cohort study of @entity4085 procedures performed in adults with @entity3458 . The main objective of the study was to compare the inlet speed, duration of procedures and rate of complications performed through DLV ports to those performed through temporary central venous and peripheral catheters. Twenty-nine adults with @entity3458 underwent a total of 318 @entity4085 procedures. Twenty adults had DLV ports placed and 218 procedures were performed using DLV ports. Mean length of follow-up after DLV port placement was 397        263 days. Six DLV ports were removed due to infection and 1 for malfunction after a mean of 171        120 days. Compared to temporary central venous and peripheral catheters, DLV port procedures had a greater rate of procedural complications, a longer duration, and a lower inlet speed (all P   <   0.01). When accounting for the maximum allowable inlet speed to avoid @entity1792 @entity137 , 40% of DLV port procedures were greater than 10% below maximum speed, compared to 7 and 14% of procedures performed through temporary central venous and peripheral catheters (P   <   0.0001). In conclusion, DLV ports can be used for @entity4085 in adults with @entity3458 , albeit with more procedural complications and longer duration. The smaller internal diameter and longer catheter of DLV ports compared to temporary central venous catheters likely accounts for the differences noted. J. Clin. Apheresis, 2015.    2015 Wiley Periodicals, Inc.
