nach oben

Journal of Nephrology

Erschienen in:

01.02.2016 | Original Article

Use of iliac vein tunneled cuffed catheters in elderly hemodialysis patients: a single-center retrospective study

verfasst von: Lihua Wang, Fang Wei, Guijiang Sun, Haiyan Chen, Haibo Yu, Aili Jiang

Erschienen in: Journal of Nephrology | Ausgabe 1/2016

Einloggen, um Zugang zu erhalten

Abstract

Background

Until now, the survival of iliac vein tunneled cuffed catheters (TCCs) used in elderly patients has not been fully investigated. Accordingly, we evaluated their use in elderly hemodialysis patients with no other venous access options.

Methods

A total of 70 elderly patients with iliac vein TCCs undergoing chronic hemodialysis were included in this study. Patients’ baseline anthropometric and laboratory parameters were measured. Incidence of catheter dysfunction and of catheter-related infection was documented.

Results

During the study period, a total of 99 new tunneled dialysis catheters were placed. Technical success rate was 100 %. Median infection-free survival and dysfunction-free survival after catheterization was 617 and 875 catheter days, respectively. Mean survival time per catheter was 1067 catheter days, corresponding to a total observation period of 65369 catheters days.

Conclusions

Iliac TCC is both technically feasible and effective for hemodialysis in elderly patients with no other venous access options.

Zuo L, Wang M (2012) Current burden and probable increasing incidence of ESRD in China. Clin Nephrol (74)S1:S20–S22. doi:10.5414/CNP74S020

Ravani P, Brunori G, Mandolfo S (2004) Cardiovascular comorbidity and late referral impact arteriovenous fistula survival: a prospective multicenter study. J Am Soc Nephrol 15:204–209. doi:10.1097/01.ASN.0000103870.31606.90 PubMedCrossRef

Latos DL (2002) Hemodialysis in the elderlyly: vascular access and initiation of renal replacement therapy. Semin Dial 15:91–93. doi:10.1046/j.1525-139X.2002.00031.x PubMedCrossRef

Torreggiani M, Scaramuzzi ML, Manini A et al (2013) Hemodialysis vascular access: everything you always wanted to know about it (but were afraid to ask). J Nephrol 26(5):836–847. doi:10.5301/jn.5000209 PubMedCrossRef

Allon M, Daugirdas J, Depner TA, Greene T, Ornt D, Schwab SJ (2006) Effect of change in vascular access on patient mortality in hemodialysis patients. Am J Kidney Dis 7:469–477. doi:10.1053/j.ajkd.2005.11.023 CrossRef

Ash SR (2008) Advances in tunneled central venous catheters for dialysis: design and performance. Semin Dial 2008(21):504–515. doi:10.1111/j.1525-139X.2008.00494.x CrossRef

Budruddin M, Mohsin N, Amitabh J et al (2009) Femoral vein tunneled catheters as a last resort to vascular access: report of five cases and review of literature. Ren Fail 31(4):320–322. doi:10.1080/08860220902780077 PubMedCrossRef

Napalkov P, Felici DM, Chu LK, Jacobs JR, Begelman SM (2013) Incidence of catheter-related complications in patients with central venous or hemodialysis catheters: a health care claims database analysis. BMC Cardiovasc Disord 16(13):86. doi:10.1186/1471-2261-13-86 CrossRef

Betz C, Kraus D, Müller C, Geiger H (2006) Iliac cuffed tunnelled catheters for chronic haemodialysis vascular access. Nephrol Dial Transplant 21:2009–2012. doi:10.1093/ndt/gfl176 PubMedCrossRef

10.

Develter W, De Cubber A, Van Biesen W, Vanholder R, Lameire N (2005) Survival and complications of indwelling venous catheters for permanent use in Hemodiaiysis patients. Artif Organs 29(5):399–405. doi:10.1111/j.1525-1594.2005.29067.x PubMedCrossRef

11.

Krishnasami Z, Carlton D, Bimbo L et al (2002) Management of hemodialysis catheter related bacteremia with an adjunctive antibiotic lock solution. Kidney Int 61:1136–1142. doi:10.1046/j.1523-1755.2002.00201.x PubMedCrossRef

12.

Saad TF (2001) Central venous dialysis catheters: catheter associated infection. Semin Dial 14:446–451. doi:10.1046/j.1525-139x.2001.00110.x PubMedCrossRef

13.

Jaber BL (2005) Bacterial infections in hemodialysis patients: pathogenesis and prevention. Kidney Int 67:2508–2519. doi:10.1111/j.1523-1755.2005.00364.x PubMedCrossRef

14.

Anriover B, Carlton D, Saddekni S et al (2000) Bacteremia associated with tunneled dialysis catheters: comparison of two treatment strategies. Kidney Int 7:2151–2155. doi:10.1046/j.1523-1755.2000.00067.x CrossRef

15.

National Kidney Foundation (2006) K/DOQI clinical practice guidelines for vascular access. Am J Kidney Dis 48:S176–S247. doi:10.1053/j.ajkd.2006.04.029 CrossRef

16.

Bertoli Silvio V, Ciurlino Daniele, Musetti Claudio et al (2010) Experience of 70-cm-long femoral tunnelled twin Tesio catheters for chronic haemodialysis. Nephrol Dial Transplant 25:1584–1588. doi:10.1093/ndt/gfp660 PubMedCrossRef

17.

Hayashi R, Huang E, Nissenson AR (2006) Vascular access for hemodialysis. Nat Clin Pract Nephrol 2(9):504–513. doi:10.1038/ncpneph0239 PubMedCrossRef

18.

Xue JL, Dahl D, Ebben JP et al (2003) The association of initial hemodialysis access type with mortality outcomes in elderlyly Medicare ESRD patients. Am J Kidney Dis 42:1013–1019. doi:10.1016/j.ajkd.2003.07.004 PubMedCrossRef

19.

Work J (2001) Chronic catheter placement. Sem Dial 14:436–440. doi:10.1046/j.1525-139x.2001.00108.x CrossRef

20.

Martín-Peña A, Luque Márquez R, Guerrero MJ et al (2012) Tunneled hemodialysis catheter-related bloodstream infections: a prospective multicenter cohort study from Spain. J Vasc Access 3(2):239–245. doi:10.5301/jva.5000034 CrossRef

21.

Banerjee Satyaki (2009) Dialysis catheters and their common complications: an update. TheScientificWorldJOURNAL 18(9):1294–1299. doi:10.1100/tsw.2009.145 CrossRef

22.

Wilkin TD, Kraus MA, Lane KA, Trerotola SO (2003) Internal jugular vein thrombosis associated with hemodialysis catheters. Radiology 228:697–700. doi:10.1148/radiol.2283020681 PubMedCrossRef

23.

Liangos O, Gul A, Madias NE, Jaber BL (2006) Long-term management of the tunneled venous catheter. Semin Dial 19:158–164. doi:10.1111/j.1525-139X.2006.00143.x PubMedCrossRef

24.

Shanaah A, Brier M, Dwyer A (2013) Fibrin sheath and its relation to subsequent events after tunneled dialysis catheter exchange. Semin Dial 26(6):733–737. doi:10.1111/sdi.12074 PubMedCrossRef

25.

Oliver MJ, Mendelsson DC, Quinn RR et al (2007) Catheter patency and function after catheter sheath disruption: a pilot study. Clin J Am Soc Nephrol 2:1201–1206. doi:10.2215/CJN.01910507 PubMedCrossRef

26.

Maya ID, Allon M (2005) Outcomes of tunneled femoral hemodialysis catheters: comparison with internal jugular vein catheters. Kidney Int 68(6):2886–2889. doi:10.1111/j.1523-1755.2005.00762.x PubMedCrossRef

27.

Asif A (2008) Reducing the morbidity of tunneled hemodialysis catheters–a symposium. Semin Dial 21(6):503. doi:10.1111/j.1525-139X PubMedCrossRef

28.

Moist LM, Trpeski L, Na Y et al (2008) Increased hemodialysis catheter use in Canada and associated mortality risk: data from the Canadian Organ Replacement Registry 2001–2004. Clin J Am Soc Nephrol 3:1726–1732. doi:10.2215/CJN.01240308

29.

Apostolou T (2007) Quality of life in the elderlyly patients on dialysis. Int Urol Nephrol 39:679–683. doi:10.1016/j.urology.2006.09.004 PubMedCrossRef

30.

Herrington William G, Nye Helen J, Haynes Richard J, Winearls Christopher G, Vaux Emma C (2013) Does prophylactic anticoagulation reduce the risk of femoral tunneled dialysis catheter-related complications? J Vasc Access 14(2):135–142. doi:10.5301/jva.5000117 PubMedCrossRef

31.

Hinchliffe WT, Ahmed S, Mansy H (2011) Bilateral cuffed tunnelled femoral dialysis catheters. Int J Nephrol Renovasc Dis 4:137–138. doi:10.2147/IJNRD.S25687

32.

Blot F, Nitenberg G, Chachaty E et al (1999) Diagnosis of catheter related bacteraemia: a prospective comparison of the time to positivity of hub-blood versus peripheral-blood cultures. Lancet 354:1071–1077. doi:10.1016/S0140-6736(98)11134-0 PubMedCrossRef

33.

Besarab A, Pandey R (2011) Catheter management in hemodialysis patients: delivering adequate flow. Clin J Am Soc Nephrol 6(1):227–234. doi:10.2215/CJN.04840610 PubMedCrossRef

34.

Forneris G, Savio D, Quaretti P et al (2014) Dealing with stuck hemodialysis catheter: state of the art and tips for the nephrologist. J Nephrol 27:619–625. doi:10.1007/s40620-014-0150-4 CrossRef

Titel: Use of iliac vein tunneled cuffed catheters in elderly hemodialysis patients: a single-center retrospective study
verfasst von: Lihua Wang
Fang Wei
Guijiang Sun
Haiyan Chen
Haibo Yu
Aili Jiang
Publikationsdatum: 01.02.2016
Verlag: Springer International Publishing
Erschienen in: Journal of Nephrology / Ausgabe 1/2016
Print ISSN: 1121-8428
Elektronische ISSN: 1724-6059
DOI: https://doi.org/10.1007/s40620-015-0198-9

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Schadet Ärger den Gefäßen?

14.05.2024 Arteriosklerose Nachrichten

In einer Studie aus New York wirkte sich Ärger kurzfristig deutlich negativ auf die Endothelfunktion gesunder Probanden aus. Möglicherweise hat dies Einfluss auf die kardiovaskuläre Gesundheit.

Intervallfasten zur Regeneration des Herzmuskels?

14.05.2024 Herzinfarkt Nachrichten

Die Nahrungsaufnahme auf wenige Stunden am Tag zu beschränken, hat möglicherweise einen günstigen Einfluss auf die Prognose nach akutem ST-Hebungsinfarkt. Darauf deutet eine Studie an der Uniklinik in Halle an der Saale hin.

Klimaschutz beginnt bei der Wahl des Inhalators

14.05.2024 Klimawandel Podcast

Auch kleine Entscheidungen im Alltag einer Praxis können einen großen Beitrag zum Klimaschutz leisten. Die neue Leitlinie zur "klimabewussten Verordnung von Inhalativa" geht mit gutem Beispiel voran, denn der Wechsel vom klimaschädlichen Dosieraerosol zum Pulverinhalator spart viele Tonnen CO₂. Leitlinienautor PD Dr. Guido Schmiemann erklärt, warum nicht nur die Umwelt, sondern auch Patientinnen und Patienten davon profitieren.

Typ-2-Diabetes und Depression folgen oft aufeinander

14.05.2024 Typ-2-Diabetes Nachrichten

Menschen mit Typ-2-Diabetes sind überdurchschnittlich gefährdet, in den nächsten Jahren auch noch eine Depression zu entwickeln – und umgekehrt. Besonders ausgeprägt ist die Wechselbeziehung laut GKV-Daten bei jüngeren Erwachsenen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Background

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2016

Identifying acute kidney injury in the community—a novel informatics approach

Erratum to: Management of CKD-MBD in non-dialysis patients under regular nephrology care: a prospective multicenter study

Heritability of dietary traits that contribute to nephrolithiasis in a cohort of adult sibships

The role of tonsillectomy in IgA nephropathy

Role of complement in IgA nephropathy