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Journals / Damar Cerrahi Dergisi / 2017 / Cilt: 26 - Sayı: 3

Hemodiyaliz lı kateterizasyon işlemi sırasında Doppler ultrasonografi kullanımı ve çift kontrol yöntemi

The use of Doppler ultrasonography and double-control method during catheterization for hemodialysis

Ozan Onur BALKANAY
Pages
104–110
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

We suggest routine ultrasonography guidance in the hemodialysis catheterization procedures

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: In this study, we aimed to evaluate the results of patients undergoing Doppler ultrasonography and double-control method intraoperatively during hemodialysis catheterization.Patients and methods: A total of 590 consecutive patients (260 males, 330 females; mean age 54.1±18.2 years; range 19 to 97 years) undergoing catheter placement for hemodialysis in our clinic between July 2013 and August 2014 were included in the study.
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Key Findings & Data:These subgroups were evaluated separately for uncuffed catheters and tunneled-cuffed catheters.
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Conclusion & Impact:We suggest routine ultrasonography guidance in the hemodialysis catheterization procedures
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: In this study, we aimed to evaluate the results of patients undergoing Doppler ultrasonography and double-control method intraoperatively during hemodialysis catheterization.Patients and methods: A total of 590 consecutive patients (260 males, 330 females; mean age 54.1±18.2 years; range 19 to 97 years) undergoing catheter placement for hemodialysis in our clinic between July 2013 and August 2014 were included in the study. The patients were divided into two subgroups of internal jugular vein and femoral vein catheterization regions. These subgroups were evaluated separately for uncuffed catheters and tunneled-cuffed catheters. Differences of duration of intervention and complication rates of subgroups were evaluated.Results: A total of 273 patients (46.3%) had tunneled-cuffed and 317 (53.7%) had uncuffed hemodialysis catheter implantation. Early postoperative catheter dysfunction developed in three patients (0.5%) with previous catheterization history from the same vessel. The mean duration of the procedure was 8.1±2.2 min for uncuffed and 15.8±3.4 min for tunneled-cuffed hemodialysis catheter implantation. No arterial puncture was performed in any patient. The mean number of punctures per intervention was 1.1±0.3 puncture per patient. Intraoperative mortality was not observed in any patient. The duration of the procedure and the rates of complications for the internal jugular and femoral vein regions were not different.Conclusion: Ultrasonography-guided catheterization can be successfully used in both femoral and internal jugular vein regions with similar results. We suggest routine ultrasonography guidance in the hemodialysis catheterization procedures

Özet

Amaç: Bu çalışmada hemodiyaliz kateterizasyonu sırasında ameliyat sırası Doppler ultrasonografi ve çift kontrol yöntemi yapılan hastaların sonuçları değerlendirildi.Hastalar ve Yöntemler: Temmuz 2013 - Ağustos 2014 tarihleri arasında kliniğimizde hemodiyaliz amaçlı kateter yerleştirilen ardışık toplam 590 hasta (260 erkek, 330 kadın; ort. yaş 54.1±18.2 yıl; dağılım 19-97 yıl) çalışmaya dahil edildi. Hastalar internal jugüler ven ve femoral ven kateterizasyon bölgelerine göre iki alt gruba ayrıldı. Bu alt gruplar kafsız ve kaflı tünelli kateterler için ayrı ayrı değerlendirildi. Alt grupların işlem süresi ve komplikasyon oranları açısından farklılıklar değerlendirildi.Bulgular: Toplam 273 hastada (%46.3) tünelli kaflı ve 317'sinde (%53.7) kafsız hemodiyaliz kateteri yerleştirilmişti. Ameliyat sonrası erken kateter disfonksiyonu, aynı damardan daha önce kateterizasyon öyküsü olan üç hastada (%0.5) gelişti. Ortalama işlem süresi kafsız hemodiyaliz kateteri için 8.1±2.2 dk.; tünelli kaflı hemodiyaliz kateteri için 15.8±3.4 dk. idi. Hiçbir hastaya arteriyel ponksiyon yapılmadı. İşlem için yapılan ponksiyon sayısı hasta başına ortalama 1.1±0.3 adetti. Ameliyat sırası mortalite hiçbir hastada gözlenmedi. İşlem süreleri ve komplikasyon oranları internal jugüler ve femoral ven bölgeleri için farklılık göstermedi.Sonuç: Ultrasonografi kılavuzluğunda kateterizasyon hem femoral hem de internal jugüler ven bölgelerinde benzer sonuçlar ile başarılı bir şekilde kullanılabilir. Hemodiyaliz kateterizasyon işlemlerinde rutin ultrasonografi kılavuzluğunu önermekteyiz

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Cite This Article

BALKANAY, O. O. (2022). Hemodiyaliz lı kateterizasyon işlemi sırasında Doppler ultrasonografi kullanımı ve çift kontrol yöntemi. Damar Cerrahi Dergisi, Cilt: 26 - Sayı: 3, 104–110. https://ajindex.com/articles/486644

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