Dergiler / Acıbadem Üniversitesi Sağlık Bilimleri Dergisi / 2021 / Cilt: 12 - Sayı: 3

Risk Factors Associated with Dysfunction of Permanent Tunneled Cuffed Hemodialysis Catheters; Single Center Experience

Sayfa
558–563
Yayın Tarihi
2021-07-01
DOI
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When the causes of dysfunction were examined, the most common causes of dysfunction were venous stenosis in patients with hypertension, thrombosis in patients with diabetes as a concomitant disease without diabetes in the etiology of CRF, and thrombosis in patients with diabetes in CRF etiology (p

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Amaç & Hipotez:Öz Risk Factors Associated with Dysfunction of Permanent Tunneled Cuffed Hemodialysis Catheters; Single Center Experience Introduction: Permanent tunneled cuffed catheters are frequently preferred for hemodialysis in patients with chronic renal failure (CRF), but the factors associated with the dysfunction of these catheters are not well known.
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Temel Bulgular & Veri:Materials and Methods: All cases with a diagnosis of CRF and a permanent tunneled cuffed catheter inserted into the central vein for the first time in our radiology clinic between 2014 and 2019 and who developed catheter dysfunction were included in the study.
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Sonuç & Katkı:When the causes of dysfunction were examined, the most common causes of dysfunction were venous stenosis in patients with hypertension, thrombosis in patients with diabetes as a concomitant disease without diabetes in the etiology of CRF, and thrombosis in patients with diabetes in CRF etiology (p
🔬Tür:Araştırma Makalesi
📍Kapsam:2014 Verileri
⚙️Değişkenler:Anahtar Kelimeler fibrin · hemodialysis · permanent tunneledcuffed hemodialysis catheter

Özet

Öz Risk Factors Associated with Dysfunction of Permanent Tunneled Cuffed Hemodialysis Catheters; Single Center Experience Introduction: Permanent tunneled cuffed catheters are frequently preferred for hemodialysis in patients with chronic renal failure (CRF), but the factors associated with the dysfunction of these catheters are not well known. Our goal is to investigate these risk factors. Materials and Methods: All cases with a diagnosis of CRF and a permanent tunneled cuffed catheter inserted into the central vein for the first time in our radiology clinic between 2014 and 2019 and who developed catheter dysfunction were included in the study. Demographic and clinical data of the cases were obtained from file records. The relationship between the causes of catheter dysfunction and the presence of diabetes and hypertension was investigated. Results: Of the total 123 cases, 78 (63.4%) were male, 45 (36.6%) were female, the median age was 55 (28-78). Twenty-nine (23.6%) of the cases had thrombosis, 72 (58.5%) had venous stenosis and 22 (17.9%) had catheter dysfunction due to fibrin sheath. Dysfunction groups were compared with each other in terms of age, gender, duration of operation of the catheter, CRF etiology, comorbid diseases, the vein where the catheter was placed and the use of anticoagulants. The most important cause of catheter dysfunction in the early period was thrombosis (p = 0.003). When the causes of dysfunction were examined, the most common causes of dysfunction were venous stenosis in patients with hypertension, thrombosis in patients with diabetes as a concomitant disease without diabetes in the etiology of CRF, and thrombosis in patients with diabetes in CRF etiology (p

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Bu Makaleye Atıf Yap

YİLDİZ, I. (2021). Risk Factors Associated with Dysfunction of Permanent Tunneled Cuffed Hemodialysis Catheters; Single Center Experience. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 12 - Sayı: 3, 558–563. https://ajindex.com/articles/216251

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Kaynakça (15)

  1. Bream PR Jr. Update on insertion and complications of central venous catheters for hemodialysis. Semin Intervent Radiol. 2016; 33(1): 31–38
  2. Quarello F, Forneris G, Borca M et al: Do central venous catheters have advantages over arteriovenous fistulas or grafts? J Nephrol. 2006; 19: 265–79
  3. Labriola L, Pochet JM. Any use for alternative lock solutions in the prevention of catheter-related blood stream infections? J. Vasc Access. 2017; 18; 34–38
  4. Ibeas-Lopez, J. New technology: Heparyn and atimicrobial-coated catheters. J. Vasc Access. 2015; 16; 48–53
  5. Lok C, Huber T, Lee T, Shenoy S et al. KDOQI Clinical Practice Guidelines for Vascular Access: 2019 Update. Am J Kidney Dis. 2020; 75; 1─64
  6. Timsit JF. What is the best site for central venous catheter insertion in critically ill patients. Crit Care. 2003; 7(6): 397399
  7. Kelber J, Delmez JA, Wındus Dw. Factors affecting delivery of high-efficiency dialysis using temporary vascular access. Am J Kidney Dis. 1993; 22: 24 ̶ 29
  8. Rathi M, Pinnamaneni VST, Sakhuja V. Non-imaging assisted insertion of un-cuffed, non-tunneled internal jugular venous catheters for hemodialysis: safety and utility in modern day world. Biomed J. 2016; 39(4): 283–88
  9. Maya ID, Allon M. Outcomes of tunneled femoral hemodialysis catheters: comparison with internal jugular vein catheters. Kidney Int. 2015; 68: 2886–89
  10. Engstrom BI, Horvath JJ, Stewart JK et al. Tunneled internal jugular hemodialysis catheters: impact of laterality and tip position on catheter dysfunction and infection rates. J Vasc Interv Radiol. 2013; 24(9): 1295–1302
  11. Shingarev R, Barker-Finkel J, Allon M: Natural history of tunneled dialysis catheters placed for hemodialysis initiation. J Vasc Interv Radiol. 2013; 24: 1289–94
  12. Shi M, Cui T, Ma L et al. Catheter Failure and Mortality in Hemodialysis Patients with Tunneled Cuffed Venous Catheters in a Single Center. Blood Purif. 2017; 43(4): 321 ̶ 26
  13. Coentrao L, Santos-Araujo C, Dias C et al. Effects of starting hemodialysis with an arteriovenous fistula or central venous catheter compared with peritoneal dialysis: a retrospective cohort study. BMC Nephrol. 2012; 13: 88
  14. Ponce D, Mendes M, Silva T et.al. Occluded Tunneled Venous Catheter in Hemodialysis Patients: Risk Factors and Efficacy of Alteplase. 2015; 39(9): 741-47
  15. Wang K, Wang P, Liang X et.al. Epidemiology of haemodialysis catheter complications: A survey of 865 dialysis patients from 14 haemodialysis centres in He