Natural History of Tunneled Dialysis Catheters Placed for Hemodialysis Initiation

Shingarev, Roman; Barker-Finkel, Jill; Allon, Michael

doi:10.1016/j.jvir.2013.05.034

Cited by 83 publications

(96 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Raheem et al reported a 90‐day catheter survival rate of 77% . Similarly, Shingarev et al reported a 3‐month catheter patency rate of 69% . Catheter survival in our patients was slightly lower than those reports.…”

Section: Discussioncontrasting

confidence: 47%

Changes to indications for tunneled cuffed catheter use in hemodialysis patients: A single‐center experience

Okamoto

Sakurada

Koitabashi

et al. 2018

Hemodialysis International

View full text Add to dashboard Cite

Introduction: As the number of elderly end‐stage renal disease patients lacking suitable vessels for arteriovenous fistula (AVF) is increasing, indications for tunnel cuffed catheters (TCCs) may be expanding. This study aimed to clarify changes over time in the number of patients with TCC and indications for TCCs. Methods: This single‐center retrospective study analyzed 143 catheters for 95 patients who inserted TCCs between July 2005 and July 2017. Patients were divided into two groups (early‐ and late‐phase groups) based on the median observational period. Demographic data and clinical information were then compared. Findings: Fifty TCCs were inserted in the early phase group, and 93 TCCs were inserted in the late‐phase group. The late‐phase group was older (77 vs. 70 years; P = 0.003) and showed a higher frequency of hypertensive nephropathy (29% vs. 14%; P < 0.05) and a lower frequency of a history of cardiovascular disease (52.7% vs. 70.0%; P = 0.045). In the late‐phase group, indications for bridge vascular access (0% vs. 11.8%; P < 0.05) or severe cardiac dysfunction (8.0% vs. 20.5%; P < 0.05) were increased. In addition, the late‐phase group showed increases in percentage of patients with the catheter inserted in the femoral vein (10.0% vs. 23.7%; P = 0.047), nephrologists performing catheter insertion (56.0% vs. 87.1%; P < 0.001), and the patients who underwent superficialization of the brachial artery (28.0% vs. 46.2%; P = 0.034). Significant differences in catheter survival, incidence of complications, reasons for catheter removal, or incidence of catheter‐related infection were not observed between groups. Discussion: Patients with indications for TCC may be increasing due to an increase in elderly end‐stage renal disease patients whose activities of daily living have decreased. In addition, indications for bridge vascular access were widely accepted in the late‐phase group.

show abstract

Section: Discussioncontrasting

confidence: 47%

Changes to indications for tunneled cuffed catheter use in hemodialysis patients: A single‐center experience

Okamoto

Sakurada

Koitabashi

et al. 2018

Hemodialysis International

View full text Add to dashboard Cite

show abstract

“…About tCVC survival rate, Shingarev et al [18] reported that the first tCVC survival rate was 34% during the first year. The tCVC failure due to catheter-related infections was 45%.…”

Section: Discussionmentioning

confidence: 99%

Catheter Failure and Mortality in Hemodialysis Patients with Tunneled Cuffed Venous Catheters in a Single Center

Shi¹,

Cui²,

Ma³

et al. 2017

Blood Purif

View full text Add to dashboard Cite

Background: As of now, only a few studies have focused on the failure of tunneled cuffed venous catheter (tCVC) and mortality of hemodialysis (HD) patients using tCVC as long-term vascular access, whose vascular condition for arteriovenous fistula was not very satisfactory. In this study, we aimed to provide information about the first tCVC failure and survival rates of patients in this population. Methods: Fifty-nine patients who used tCVC from January 1, 2009 to December 31, 2014 in our HD center were analyzed in this retrospective study and followed up either until their death or until December 31, 2015. The first tCVC and patient survival rates were analyzed. Results: The incidence of catheter-related infections was 0.3 per 1,000 patient-days. The median survival duration of first tCVC was 45.0 (95% CI 29.3-69.7) months and the median survival time of all patients was 56.3 (95% CI 34.1-78.5) months by Kaplan-Meier analysis. Advanced age (hazard ratio [HR] 1.055, p < 0.05) and diabetic mellitus (HR 4.147, p < 0.05) at the initiation of HD were significant risk factors of first tCVC failure, while male (HR 2.712, p < 0.05) and cardiovascular diseases (CVDs; HR 4.139, p < 0.05) were significant risk factors for patient mortality as deduced by Cox proportional hazards methods. Conclusions: The study highlighted that first tCVC survival rates and patient survival rates were high in HD patients who were using tCVCs as long-term vascular access, with low incidence of catheter-related infections. In the study it was found that advanced age and diabetic mellitus at the initiation of HD influenced first tCVC failure, whereas male and CVDs seemed to be risk factors for patient mortality.

show abstract

“…Percutaneous haemodialysis catheters serve as an important temporary vascular access during maturation of other permanent AV accesses, such as fistulae or grafts, or PD catheter is not ready for use . However, the NKF KDOQI guidelines suggest that prevalent long‐term or permanent CVC rates of less than 10% may be a realistic target . Therefore, avoiding insertion of CVC or removal of unnecessary CVC in order to minimize the related complications is the most important statergy …”

Section: Care Of Patient For Insertion Of Percutaneous Catheter Fomentioning

confidence: 99%

Clinical practice guidelines for the provision of renal service in Hong Kong: Renal Nursing Practice

Kong¹,

Law

2019

Nephrology

View full text Add to dashboard Cite

Natural History of Tunneled Dialysis Catheters Placed for Hemodialysis Initiation

Cited by 83 publications

References 25 publications

Changes to indications for tunneled cuffed catheter use in hemodialysis patients: A single‐center experience

Changes to indications for tunneled cuffed catheter use in hemodialysis patients: A single‐center experience

Catheter Failure and Mortality in Hemodialysis Patients with Tunneled Cuffed Venous Catheters in a Single Center

Clinical practice guidelines for the provision of renal service in Hong Kong: Renal Nursing Practice

Contact Info

Product

Resources

About