Translumbar central venous catheters for long-term haemodialysis

Power, Albert; Singh, Seema; Ashby, Damien; Hamady, Mohamed; Moser, Steven; Gedroyc, W.; Taube, David; Duncan, Neill; Cairns, Thomas

doi:10.1093/ndt/gfp683

Cited by 52 publications

(62 citation statements)

References 33 publications

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“…Our CRI rate was within the preferred range for all TLDCs from 0.16 to 0.55/100 catheter days according to reported TLDC value from 0.22/100 to 0.51/100 catheter days (11,12,15,29) and higher than K-DOQI guidelines. The related higher infection rate could be due to the anatomical site of insertion where the patient lies on the exit site and it is subject to more mechanical stress (12). CVCs are recommended to be exchanged or removed if patients had fever for more than 48h after systemic antibiotic therapy (30).…”

Section: Discussionsupporting

confidence: 58%

“…The long-term indwelling tunneled catheter is associated with five-to ten-fold increased risk of bacteremia, which remains a leading complication of hemodialysis patient (22). Our CRI rate was within the preferred range for all TLDCs from 0.16 to 0.55/100 catheter days according to reported TLDC value from 0.22/100 to 0.51/100 catheter days (11,12,15,29) and higher than K-DOQI guidelines. The related higher infection rate could be due to the anatomical site of insertion where the patient lies on the exit site and it is subject to more mechanical stress (12).…”

Section: Discussionmentioning

confidence: 48%

“…Since TLDC might offer a relatively safe and effective dialysis access both in adults and children, it was considered a potential option for patients with limited central venous access (12)(13)(14)(15). While few small studies reported successes and complications associated with TLDC placement, additional studies are needed to estimate the long-term patency and safety of TLDC in this high-risk population.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Patency and Complications of Translumbar Dialysis Catheters

2014

American Journal of Kidney Diseases

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 48%

Section: Introductionmentioning

confidence: 99%

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Patency and Complications of Translumbar Dialysis Catheters

2014

American Journal of Kidney Diseases

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“…When conventional venous accesses have been exhausted and peritoneal dialysis is impossible, it is mandatory to use alternative procedures for VA in order to continue HD. Translumbar inferior vena caval CVCs belong to this category and it seems that they can offer a relatively safe and effective long-term HD access [87] . Another alternative is the transhepatic HD catheters; they seem to be a potentially viable option with low rates of morbidity due to placement, high rates of catheter-related maintenance and the possibility of long-term functionality [88] .…”

Section: Tunneled Hd Cathetermentioning

confidence: 99%

Vascular access today

Pantelias

Grapsa²

2012

WJN

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The number of patients with chronic kidney disease requiring renal replacement therapy has increased worldwide. The most common replacement therapy is hemodialysis (HD). Vascular access (VA) has a key role for successful treatment. Despite the advances that have taken place in the field of the HD procedure, few things have changed with regards to VA in recent years. Arteriovenous fistula (AVF), polytetrafluoroethylene graft and the cuffed double lumen silicone catheter are the most common used for VA. In the long term, a number of complications may present and more than one VA is needed during the HD life. The most common complications for all of VA types are thrombosis, bleeding and infection, the most common cause of morbidity in these patients. It has been estimated that VA dysfunction is responsible for 20% of all hospitalizations. The annual cost of placing and looking after dialysis VA in the United States exceeds 1 billion dollars per year. A good functional access is also vital in order to deliver adequate HD therapy. It seems that the native AVF that Brescia and Cimino described in 1966 still remains the first choice for VA. The native forearm AVFs have the longest survival and require the fewest interventions. For this reason, the forearm AVF is the first choice, followed by the upper-arm AVF, the arteriovenous graft and the cuffed central venous catheter is the final choice. In conclusion, VA remains the most important issue for patients on HD and despite the technical improvements, a number of problems and complications have to be resolved.

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“…When conventional venous accesses have been exhausted and peritoneal dialysis is impossible, it is mandatory to use alternative procedures for VA in order to continue HD. Translumbar inferior vena caval CVCs belong to this category and it seems that they can offer relatively safe and effective long-term HD access [69]. Another alternative is the transhepatic hemodialysis catheters; they seem to be a potentially viable option with low rates of morbidity due to placement, high rates catheter-related maintenance and possibility of long-term functionality [70].…”

Section: Tunnelled Hemodialysis Cathetermentioning

confidence: 99%