SavedAdd your journal

Journals / Kocatepe Tıp Dergisi / 2014 / Cilt: 15 - Sayı: 3

Böbrek Yetmezlikli Hastalarda Doppler Ultrasonografi Eşliğinde Hemodiyaliz Amaçlı Geçici Kateter Uygulamaları: Erken ve Geç Dönem Sonuçlar

Celalettin KARATEPE
MUSTAFA ALDEMİR
Tülin YETİM DURGUN
Ayşe AKKOCA OĞUZHAN
Celalettin DAĞLI
Pages
301–305
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

On the other hand, in patients with renal failure disease requiring hemodyalysis, early creation of permanent vascular access site is the most important issue for preventing late complications

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Placing of the temporary hemodialysis catheters in the patients with renal failure disease is a commonly used practice.
📊
Key Findings & Data:Material and Methods: In our cardiovascular surgery clinic, between January 2010 and January 2012, 270 patients who were inserted temporary hemodyalysis catheter, were screened retrospectively for their age, sex, catheter insertion indication, insertion site, removing reasons and complications.
💡
Conclusion & Impact:On the other hand, in patients with renal failure disease requiring hemodyalysis, early creation of permanent vascular access site is the most important issue for preventing late complications
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Hemodiyaliz · geçici kateter · doppler USG

Abstract

Objective: Placing of the temporary hemodialysis catheters in the patients with renal failure disease is a commonly used practice. In this study, we aimed to present our experiences on placing of temporary hemodialysis catheters with the guidance of doppler ultrasonography. Material and Methods: In our cardiovascular surgery clinic, between January 2010 and January 2012, 270 patients who were inserted temporary hemodyalysis catheter, were screened retrospectively for their age, sex, catheter insertion indication, insertion site, removing reasons and complications. Results: Temporary hemodyalysis catheters were used in 270 patients with renal failure disease at 320 times. Right internal jugular vein (IJV) was the most common insertion site as in 240 patients. In 11 cases, early complications were developed and in 30 cases, late complications were seen. The most commonly seen complication was catheter dysfunction. Conclusion: Usage of temporary hemodyalysis catheters may result in increased rate of some early and late complications. Insertion, guided with doppler ultrasonography has gained importance in preventing early complications. On the other hand, in patients with renal failure disease requiring hemodyalysis, early creation of permanent vascular access site is the most important issue for preventing late complications

Özet

Amaç: Böbrek yetmezlikli hastalarda hemodiyaliz amaçlı geçici kateter uygulaması sık kullanılan bir yöntemdir. Makalemizde; Doppler ultrasonografi (USG) eşliğinde uygulanan hemodiyaliz amaçlı geçici kateter deneyimlerimizi sunmayı amaçladık. Gereç ve Yöntem: Kap-Damar Cerrahisi Kliniğimizde Ocak 2010-Ocak 2012 tarihleri arasında hemodiyaliz amaçlı geçici kateter uygulanan 270 hasta yaş, cinsiyet, kateter endikasyonu, uygulama yeri, çıkartılma sebepleri ve komplikasyonları açısından retrospektif olarak incelendi. Bulgular: Böbrek yetmezlikli 270 hastaya toplam 320 defa geçici hemodiyaliz kateteri takıldı. En sık giriş yeri 240 olguda sağ internal juguler vendi (İJV). 11 olguda erken dönemde, 30 olguda ise geç dönemde komplikasyon gelişti. En sık görülen komplikasyon kateter disfonksiyonu idi. Sonuç: Geçici hemodiyaliz kateterlerinin kullanımı erken ve geç dönemde yüksek komplikasyon oranları ile beraberdir. Erken dönem koplikasyonların azaltılmasında Doppler USG eşliğinde kateterizasyon önem kazanırken, geç dönem komplikasyonların azaltılmasında en önemli faktör kronik böbrek yetmezlikli hemodiyaliz gerektiren hastalarda en kısa zamanda kalıcı vasküler erişim yolunun oluşturulmasıdır

🔖

Cite This Article

KARATEPE, C., ALDEMİR, M., DURGUN, T. Y., OĞUZHAN, A. A., DAĞLI, C. (2014). Böbrek Yetmezlikli Hastalarda Doppler Ultrasonografi Eşliğinde Hemodiyaliz Amaçlı Geçici Kateter Uygulamaları: Erken ve Geç Dönem Sonuçlar. Kocatepe Tıp Dergisi, Cilt: 15 - Sayı: 3, 301–305. https://ajindex.com/articles/205331

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Mickley V. Central venous catheters: many questions,few answers. Nephrol Dial Transplant 2002;17(8):1368-73.
  2. El Minshawy O, Abd El Aziz T, Abd El Ghani H. Evaluation of vascular access complications in acute and chronichemodialysis. The Journal of Vascular Access 2004;5(2):76-82.
  3. Karakaya D, Barış S, Güldogus F, Incesu L, SarıhasanB, Tür A. Brachial plexus injury during subclavian veincatheterization for hemodialysis. J Clin Anesth 2000;12(3):220-3.
  4. Oguzkurt L, Tercan F, Torun D, Yıldırım T, Zümrütdal A, Kızılkılıc O. Impact of short-term hemodialysis catheterson the central veins: a catheter 2004;52(3):293-9. study. Eur J Radiol Canaud B, Desmeules S, Klouche K, Leray- Moragues H, Beraud JJ. Vascular Access for dialysis in the intensivecare unit. Best Pract Clin Anaesthesiol 2004;18(1):159-74.
  5. Akata T, Nakayama T, Kandabashi T, Kodama K, Takahashi S. Massive retroperitoneal hemorrhage associatedwith femoral vein cannulation. J Clin Anesth 1998;10(4):321-6.
  6. Augoustides JG, Horak J, Ochroch AE, et al. A randomized controlled clinical trial of real-time needle-guided ultrasound for ınternal jugular venous cannulation in a large university anesthesia department. 2005;19(3):310-5.
  7. Cardiothor J Vasc Anesth Docktor BL, Sadler OJ, Gray RR, et al. Radiologic placementof tunneled central catheters: rates of success and of ımmediate complications in a large series. AJR 1999:173(2):457-60. Karkee DV. Subclavian vein dialysis access catheter-complications are low. Nepal Med Coll J 2010;12(4):248-52.
  8. Casanegra AI, Brannan S, Dadu R, et al. Short-term femoral vein catheterization rarely causes thrombosis or bacteremia. J Hosp Med (Online) 2011;6(1):33-6. Requarth JA. Real-time ultrasound-aided central vein cannulation failure rate: establishing a benchmark. World J Surg 2010;34(12):3054-8.
  9. Prabhu MV, Juneja D, Gopal PB, et al. Ultrasound-guided femoral dialysis access placement: A single-center randomized trial. Clin J Am Soc Nephrol 2010;5(2):235-9.
  10. Karakitsos D, Labropoulos N, Groot ED. Real-time ultrasoundguided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Critical Care 2006;10(6):162-70. Sandhu J. Techniques for conventional access to central veins. Tech Vasc Interv Radiol 1998;1(3):125 Droll KP, Lossing AG. Carotid-jugular arteriovenoz fistula: case report of an iatrogenic complication following internal jugular vein catheterization. J Clin Anest 2004;16(2):127-9.
  11. Lumsden AB, MacDonald