Central venous catheters as a vascular access modality for pediatric hemodialysis

Abstract

Uncuffed central venous catheters are both needed and useful for short-term hemodialysis. Vascular access for extended durations may be provided by cuffed tunneled catheters. Infection is the major serious concern with both uncuffed and cuffed catheters.

Inpatient citrate-based hemodialysis in pediatric patients

“…This possibility is supported by our analysis that showed an increased risk of thrombosis with temporary catheters (RR = 1.41). Our data are similar to data published by Fadel et al who demonstrated in a prospective study of temporary uncuffed DLC (N = 195) that 44 % had catheter complications, with a 31 % thrombosis rate using an uncuffed DLC (mean DLC duration 116 days) [15].…”

Vascular access: choice and complications in European paediatric haemodialysis units

“…Catheter-related bacteraemia rates in children on HD were found to vary 1.5 and 8.6/1000 catheter days in different series involving from 13 up to 89 patients [7,[21][22][23][24][25][26][27][28]. In our study, the overall rate of CVC-related infections requiring intravenous antibiotics was 1.9 episodes/1000 catheter days, with a smaller number requiring CVC changes (0.9 episodes/1000 catheter days).…”

Renal replacement therapy for stage 5 chronic kidney disease in the Cayman Islands

“…Successful hemodialysis depends on the maintenance of adequate vascular access. There are better outcomes when patients commence hemodialysis with a functional AVF compared to those who initiate treatment with catheter access [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. A functional AVF is the ideal form of vascular access because it brings lower complication rates and longer event-free patency than catheter access [5][6][7][8][9][10].…”