{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T00:03:34Z","timestamp":1759709014821},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2006,11,14]],"date-time":"2006-11-14T00:00:00Z","timestamp":1163462400000},"content-version":"vor","delay-in-days":5431,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Apheresis"],"published-print":{"date-parts":[[1992,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We retrospectively analyzed our 2\u2010year experience with venous access for 363 therapeutic plasma exchanges in 46 patients with neurological disease, including acute Guillain\u2010Barr\u00e9 syndrome (N = 20), myasthenia gravis (N = 17), and chronic inflammatory demyelinating polyneuropathy (N = 9). Twenty\u2010three patients (50%) completed the planned course of therapy using only peripheral venous access, and 28 central venous catheters were placed in the remaining 23 patients. Patients utilizing central venous access did not undergo a greater number of procedures, but they were more likely to have acute Guillain\u2010Barr\u00e9 syndrome (<jats:italic>P<\/jats:italic> &lt; 0.02) or to be hospitalized in a medical intensive care unit (<jats:italic>P<\/jats:italic> &lt; 0.01). Three types of central catheters were used, and although our experience was predominantly with 1 type, differences were noted. Only 3% of procedures (3 of 96) done with a Quinton\u2010Mahurkar catheter were associated with a catheter failure, compared to 27% (4 of 15, <jats:italic>P<\/jats:italic> &lt; 0.01) with a Hickman catheter and 67% (2 of 3) with a triple\u2010lumen catheter. Life\u2010threatening complications occurred with 3 of 28 (11%) central catheters. To optimize the success of therapeutic plasma exchange using central access, it is critical that hemapheresis personnel advise each patient's primary physician regarding the type of central venous catheter required. Currently, we recommend use of a Quinton\u2010Mahurkar or other dual\u2010lumen hemodialysis catheter. \u00a9 1992 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/jca.2920070304","type":"journal-article","created":{"date-parts":[[2007,2,21]],"date-time":"2007-02-21T15:39:52Z","timestamp":1172072392000},"page":"119-123","source":"Crossref","is-referenced-by-count":30,"title":["Analysis of venous access for therapeutic plasma exchange in patients with neurological disease"],"prefix":"10.1002","volume":"7","author":[{"given":"J. E.","family":"Grishaber","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. C.","family":"Cunningham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. A.","family":"Rohret","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. G.","family":"Strauss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,11,14]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0955-3886(91)90106-D"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.1983.23483276879.x"},{"key":"e_1_2_1_4_2","first-page":"9","volume-title":"Computational Handbook of Statistics","author":"Bruning JL","year":"1987"},{"key":"e_1_2_1_5_2","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1001\/jama.1986.03380100107031","article-title":"The utility of therapeutic plasmapheresis for neurological disorders","volume":"256","author":"Consensus Conference","year":"1986","journal-title":"JAMA"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.1989.29789369679.x"},{"key":"e_1_2_1_7_2","first-page":"273","article-title":"Risks and safety practices in hemapheresis procedures","volume":"113","author":"Huestis DW","year":"1989","journal-title":"Arch Pathol Lab Med"},{"key":"e_1_2_1_8_2","first-page":"19","article-title":"Complications of intensive plasma exchange","volume":"2","author":"Sutton DMC","year":"1981","journal-title":"Plasma Therapy Transf Technol"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1041579"}],"container-title":["Journal of Clinical Apheresis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjca.2920070304","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jca.2920070304","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T11:55:14Z","timestamp":1698062114000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jca.2920070304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,1]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1992,1]]}},"alternative-id":["10.1002\/jca.2920070304"],"URL":"https:\/\/doi.org\/10.1002\/jca.2920070304","archive":["Portico"],"relation":{},"ISSN":["0733-2459","1098-1101"],"issn-type":[{"value":"0733-2459","type":"print"},{"value":"1098-1101","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,1]]}}}