May position of hemodialysis catheter tip have a direct effect on its patency? Positive results of a preliminary study on its rotation
https://doi.org/10.4081/ejtm.2022.10537
Accepted: 21 April 2022
HTML: 54
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Renal transplant therapy is essential in patients with End-Stage Renal Disease (ESRD). It is used in patients awaiting a kidney transplant or those who cannot be a transplant candidate. Central venous catheter is one of the most used access routes worldwide but has been recorded as the one with highest mortality and morbidity rate. Thromboembolic events have played a major part for that. This is a descriptive-analytical study, which conducted in a university treatment center in Tehran, Iran. A total of 225 patients were selected for this study that 108 were excluded because of our criteria. Statistical analysis was performed by SPSS v19 and a total of 117 patients were included in this study. The average age of the patients was 51.62±11.26. 79 (67.5%) and 38 (32.5%) patients had medial and lateral tip direction, respectively. The catheter of 85(72.6%) and 32(27.4%) patients was patent and occluded, respectively. The average catheter tip occlusion time in both groups was 22.5 and 7.5 months. Three-month, six-month, twelve-month, and twenty-four-month patency rate were 99%, 94%, 88%, and 30%, respectively. our findings suggest that medial direction of the tip of the catheter reduces complications caused in CVS. Because our study has been conducted in a small scale and there is lack of similar studies, our team suggests extension to a larger scale to confirm or not our results.
Beigi AA, Sharifi A, Gaheri H, Abdollahi S, Esfahani MA. Placement of long-term hemodialysis catheter (permcath) in patients with end-stage renal disease through external jugular vein. Adv Biomed Res. 2014 Dec 6; 3:252. DOI: https://doi.org/10.4103/2277-9175.146381
Santoro D, Benedetto F, Mondello P, Pipitò N, Barillà D, Spinelli F, Ricciardi CA, Cernaro V, Buemi M. Vascular access for hemodialysis: current perspectives. Int J Nephrol Renovasc Dis. 2014 Jul 8; 7:281-94. DOI: https://doi.org/10.2147/IJNRD.S46643
Baidya PR, Shrestha K, Deuja ML, Rai A, Shrestha N, Shrestha A, Baidya A. Permcath - A Vascular Access for Hemodialysis, Our Experience in Last Two Years. Kathmandu Univ Med J (KUMJ). 2019 Oct.-Dec.;17(68):263-266.
Dwivedi D, Taank P. Ultrasound-assisted Rare Case of Misplaced Hemodialysis Catheter. 2019; 2 (2):67-68. www.ijccm.org DOI: https://doi.org/10.5005/jp-journals-10070-0039
Kakkos SK, Haddad GK, Haddad RK, Scully MM. Effectiveness of a new tunneled catheter in preventing catheter malfunction: a comparative study. J Vasc Interv Radiol. 2008 Jul;19(7):1018-26. Epub 2008 Apr 28. DOI: https://doi.org/10.1016/j.jvir.2008.03.006
Wall C, Moore J, Thachil J. Catheter-related thrombosis: A practical approach. J Intensive Care Soc. 2016 May;17(2):160-167. Epub 2015 Dec 3. DOI: https://doi.org/10.1177/1751143715618683
Bellosta R, Luzzani L, Natalini G, Pegorer MA, Attisani L, Cossu LG, Ferrandina C, Fossati A, Conti E, Bush RL, Piffaretti G. Acute limb ischemia in patients with COVID-19 pneumonia. J Vasc Surg. 2020 Dec;72(6):1864-1872. Epub 2020 Apr 29. DOI: https://doi.org/10.1016/j.jvs.2020.04.483
Chang KY, Kim SH, Kim YO, Jin DC, Song HC, Choi EJ, Kim YL, Kim YS, Kang SW, Kim NH, Yang CW, Kim YK. The impact of blood flow rate during hemodialysis on all-cause mortality. Korean J Intern Med. 2016 Nov;31(6):1131-1139. Epub 2016 Feb 22. DOI: https://doi.org/10.3904/kjim.2015.111
Baskin JL, Pui CH, Reiss U, Wilimas JA, Metzger ML, Ribeiro RC, Howard SC. Management of occlusion and thrombosis associated with long-term indwelling central venous catheters. Lancet. 2009 Jul 11;374(9684):159-69. DOI: https://doi.org/10.1016/S0140-6736(09)60220-8
Faintuch S, Salazar GM. Malfunction of dialysis catheters: management of fibrin sheath and related problems. Tech Vasc Interv Radiol. 2008 Sep;11(3):195-200. DOI: https://doi.org/10.1053/j.tvir.2008.09.008
Mohamad Ali A, Uhwut E, Liew S. Dialysis catheter fibrin sheath stripping: a useful technique after failed catheter exchange. Biomed Imaging Interv J. 2012 Jan;8(1): e8. Epub 2012 Jan 1.
Miller LM, MacRae JM, Kiaii M, Clark E, Dipchand C, Kappel J, Lok C, Luscombe R, Moist L, Oliver M, Pike P, Hiremath S; Canadian Society of Nephrology Vascular Access Work Group. Hemodialysis Tunneled Catheter Noninfectious Complications. Can J Kidney Health Dis. 2016 Sep 27; 3:2054358116669130. DOI: https://doi.org/10.1177/2054358116669130
Moran JE, Ash SR; ASDIN Clinical Practice Committee. Locking solutions for hemodialysis catheters; heparin and citrate--a position paper by ASDIN. Semin Dial. 2008 Sep-Oct;21(5):490-2. Epub 2008 Aug 29. DOI: https://doi.org/10.1111/j.1525-139X.2008.00466.x
Bream PR Jr. Update on Insertion and Complications of Central Venous Catheters for Hemodialysis. Semin Intervent Radiol. 2016 Mar;33(1):31-8. DOI: https://doi.org/10.1055/s-0036-1572547
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
