Tunneled Internal Jugular Hemodialysis Catheters: Impact of Laterality and Tip Position on Catheter Dysfunction and Infection Rates

Engstrom, Bjorn I.; Horvath, Jeffrey J.; Stewart, Jessica K.; Sydnor, Ryan H.; Miller, Michael J.; Smith, Tony P.; Kim, Charles Y.

doi:10.1016/j.jvir.2013.05.035

Cited by 73 publications

(69 citation statements)

References 31 publications

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“…When the catheter tip is positioned in the right atrium, the incidence of catheter thrombosis is less frequent. According to the report of Engstrom et al [20], laterality impacted rates of tip dysfunction only when the catheter terminated in the SVC or CAJ. According to our results, catheter laterality does not influence catheter functionality or development of complications.…”

Section: Discussionmentioning

confidence: 99%

The Different Impacts on the Long-Term Survival of Tunneled Internal Jugular Hemodialysis Catheters Based on Tip Position and Laterality

Premužić

Perkov²,

Smiljanić³

et al. 2017

Blood Purif

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Background/Aims: The aim of this study was to examine the impact of different catheter tip positions on the life of the catheter, dysfunction, infection, and quality of hemodialysis and possible differences between the access site laterality in jugular-tunneled hemodialysis catheters. Methods: Catheters were evaluated for the following parameters: place of insertion, time of insertion, duration of use, and reason for removal. In all patients, the catheter tip position was checked using an X-ray. Results: The mean duration of implanted catheters with the tip placed in the cavo-atrial junction and right atrium was significantly longer. There were no differences in catheter functionality at follow-up or complications based on catheter laterality for each catheter tip position. Conclusion: According to our results, the localization of the catheter tip in superior vena cava still remains the least preferable method. Our results showed that the main factor responsible for better catheter functionality was not laterality but the depth to which the catheter tip is inserted into the body.

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Section: Discussionmentioning

confidence: 99%

The Different Impacts on the Long-Term Survival of Tunneled Internal Jugular Hemodialysis Catheters Based on Tip Position and Laterality

Premužić

Perkov²,

Smiljanić³

et al. 2017

Blood Purif

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“…Other contributing factors include hypercoagulable state, catheter thrombus, central venous stenosis, female gender, and high SVC catheter tip position . Previous insertion of a catheter in the same vein, and left subclavian approach are also associated with a higher risk of this complication . Garcarek et al postulated that polyurethane material has a reduced catheter elasticity and may be associated with greater vessel wall injury, although Tesio® catheters (Medcomp, Harleysville, PA, USA), made of flexible silicone material is also associated with adhesions …”

Section: Discussionmentioning

confidence: 99%

An unusual case of an irretrievable hemodialysis catheter in a patient with end stage renal disease

Ghahremani-Ghajar

Jin

Borghei

et al. 2017

Hemodialysis International

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Hemodialysis catheters are associated with higher risks of complications compared to arteriovenous fistulas and grafts. Some common complications of dialysis catheters include infection, thrombus formation, central venous stenosis, and mechanical dysfunction. Rarely, catheters can become firmly adhered to a vessel wall. Catheter adhesion is a serious complication that can impact the delivery of safe and effective dialysis to affected patients. Adherent catheters commonly present insidiously with no overt diagnostic signs and symptoms or antecedent catheter malfunction. Prognosis is variable, but can be potentially fatal depending on the severity of adhesion, and sequelae of complications. There are no standardized methods of therapy and treatment strategies are anecdotally reported by interventional radiology, vascular, and cardiothoracic surgery. We hereby describe a case of hemodialysis catheter that has become firmly embedded within the superior vena cava wall. We review the available literature on the epidemiology, risk factors, long-term sequelae, and known management strategies of adherent catheters. The development of preventative measures will be of great importance given serious complications and limited treatment options. Clinical awareness and understanding of this rare condition is imperative to the prevention and management of adherent catheters.

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“…11 Delayed complications are represented by malpositioning or migration. 12,13 Venous thrombosis (treated by line removal and anticoagulation) 14 or mechanical failure can occur, and fibrin can accumulate around the line, obstructing aspiration and leading to infection. 15 Both tunneled and port catheters need to be manipulated extremely carefully.…”

Section: Discussionmentioning

confidence: 99%

The Care of Central Venous Catheters in the Oncopediatric Department

Papp

Horváth

Raț

et al. 2016

Journal of Interdisciplinary Medicine

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Introduction: Childhood cancer, with its major psycho-social and health impact, needs longterm chemotherapy. Increasing the intensity of treatment results in improved outcomes of hematological malignancies and solid tumors. As cytostatics have a vascular irritating effect and multiple peripheric venous punctures cause pain, insertion of a long-term central venous catheter (CVC) during chemotherapy is often necessary. Materials and methods: All pediatric patients (aged below 18 years) with hematologic and malignant pathologies who underwent CVC insertion at the Pediatric Hemato-oncology Department of the County Emergency Clinical Hospital of Tîrgu Mureș in the February 2014 -May 2016 period were enrolled in the study. Results: We recorded 24 cases who received central venous catheters, out of which 14 patients received tunneled CVC, 7 patients port CVC, and 3 patients received initially tunneled CVC which was changed with port CVC. Tunneled catheters were preserved in average for 186.06 days and portacaths for 256.6 days. For infection prophylaxis and treatment every child received adequate antibiotic medication. Conclusions: The use of central lines in pediatric hemato-oncology is accessible and benefic not only for increasing patient comfort, but also to ease the nurses' work, who are often overburdened.

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Tunneled Internal Jugular Hemodialysis Catheters: Impact of Laterality and Tip Position on Catheter Dysfunction and Infection Rates

Cited by 73 publications

References 31 publications

The Different Impacts on the Long-Term Survival of Tunneled Internal Jugular Hemodialysis Catheters Based on Tip Position and Laterality

The Different Impacts on the Long-Term Survival of Tunneled Internal Jugular Hemodialysis Catheters Based on Tip Position and Laterality

An unusual case of an irretrievable hemodialysis catheter in a patient with end stage renal disease

The Care of Central Venous Catheters in the Oncopediatric Department

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