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The existence of a sheet around a single lumen dialysis catheter tip, which provokes a valve mechanism, is proved by the observation that several times during the replacement procedure of a dialysis catheter, a sheet surrounding the surface of the catheter is removed with the dialysis catheter. This sheet is grey, approximately 1 mm thick and 30 mm long and consists of fibrin and thrombocytes. Bacteriological examinations were always negative. The existence of the sheet in vivo is demonstrated by digitalized angiography during the removal procedure for single lumen dialysis catheters. Rarely, only the sheet is removed with the catheter. It all other instances, the sheet is stripped off and remains in the subcutaneous tunnel or in the vascular bed without causing much clinical discomfort in most patients. Occasionally an episode of cough, dyspnea, hypotension, retrosternal oppression or hemoptae after removing the single lumen dialysis catheter, suggest pulmonary embolism or lung infarction.
R Hombrouckx, and
F D'Halluin, and
A M Bogaert, and
F Leroy, and
J Y De Vos, and
L Larno
January 1988,
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association,
R Hombrouckx, and
F D'Halluin, and
A M Bogaert, and
F Leroy, and
J Y De Vos, and
L Larno
April 1971,
Archives of surgery (Chicago, Ill. : 1960),
R Hombrouckx, and
F D'Halluin, and
A M Bogaert, and
F Leroy, and
J Y De Vos, and
L Larno
October 1972,
Lancet (London, England),
R Hombrouckx, and
F D'Halluin, and
A M Bogaert, and
F Leroy, and
J Y De Vos, and
L Larno
May 2017,
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R Hombrouckx, and
F D'Halluin, and
A M Bogaert, and
F Leroy, and
J Y De Vos, and
L Larno
January 2011,
International journal of nephrology and renovascular disease,
R Hombrouckx, and
F D'Halluin, and
A M Bogaert, and
F Leroy, and
J Y De Vos, and
L Larno
September 2023,
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R Hombrouckx, and
F D'Halluin, and
A M Bogaert, and
F Leroy, and
J Y De Vos, and
L Larno
November 1971,
Nordisk medicin,
R Hombrouckx, and
F D'Halluin, and
A M Bogaert, and
F Leroy, and
J Y De Vos, and
L Larno
September 2008,
Techniques in vascular and interventional radiology,
R Hombrouckx, and
F D'Halluin, and
A M Bogaert, and
F Leroy, and
J Y De Vos, and
L Larno
January 1986,
Nursing times,
R Hombrouckx, and
F D'Halluin, and
A M Bogaert, and
F Leroy, and
J Y De Vos, and
L Larno
January 1986,
Nephron,
