Skip to main content
Top
Published in: Journal of Nephrology 1/2016

01-02-2016 | Original Article

Use of iliac vein tunneled cuffed catheters in elderly hemodialysis patients: a single-center retrospective study

Authors: Lihua Wang, Fang Wei, Guijiang Sun, Haiyan Chen, Haibo Yu, Aili Jiang

Published in: Journal of Nephrology | Issue 1/2016

Login to get access

Abstract

Background

Until now, the survival of iliac vein tunneled cuffed catheters (TCCs) used in elderly patients has not been fully investigated. Accordingly, we evaluated their use in elderly hemodialysis patients with no other venous access options.

Methods

A total of 70 elderly patients with iliac vein TCCs undergoing chronic hemodialysis were included in this study. Patients’ baseline anthropometric and laboratory parameters were measured. Incidence of catheter dysfunction and of catheter-related infection was documented.

Results

During the study period, a total of 99 new tunneled dialysis catheters were placed. Technical success rate was 100 %. Median infection-free survival and dysfunction-free survival after catheterization was 617 and 875 catheter days, respectively. Mean survival time per catheter was 1067 catheter days, corresponding to a total observation period of 65369 catheters days.

Conclusions

Iliac TCC is both technically feasible and effective for hemodialysis in elderly patients with no other venous access options.
Literature
1.
go back to reference Zuo L, Wang M (2012) Current burden and probable increasing incidence of ESRD in China. Clin Nephrol (74)S1:S20–S22. doi:10.5414/CNP74S020 Zuo L, Wang M (2012) Current burden and probable increasing incidence of ESRD in China. Clin Nephrol (74)S1:S20–S22. doi:10.​5414/​CNP74S020
4.
8.
go back to reference Napalkov P, Felici DM, Chu LK, Jacobs JR, Begelman SM (2013) Incidence of catheter-related complications in patients with central venous or hemodialysis catheters: a health care claims database analysis. BMC Cardiovasc Disord 16(13):86. doi:10.1186/1471-2261-13-86 CrossRef Napalkov P, Felici DM, Chu LK, Jacobs JR, Begelman SM (2013) Incidence of catheter-related complications in patients with central venous or hemodialysis catheters: a health care claims database analysis. BMC Cardiovasc Disord 16(13):86. doi:10.​1186/​1471-2261-13-86 CrossRef
16.
go back to reference Bertoli Silvio V, Ciurlino Daniele, Musetti Claudio et al (2010) Experience of 70-cm-long femoral tunnelled twin Tesio catheters for chronic haemodialysis. Nephrol Dial Transplant 25:1584–1588. doi:10.1093/ndt/gfp660 PubMedCrossRef Bertoli Silvio V, Ciurlino Daniele, Musetti Claudio et al (2010) Experience of 70-cm-long femoral tunnelled twin Tesio catheters for chronic haemodialysis. Nephrol Dial Transplant 25:1584–1588. doi:10.​1093/​ndt/​gfp660 PubMedCrossRef
20.
go back to reference Martín-Peña A, Luque Márquez R, Guerrero MJ et al (2012) Tunneled hemodialysis catheter-related bloodstream infections: a prospective multicenter cohort study from Spain. J Vasc Access 3(2):239–245. doi:10.5301/jva.5000034 CrossRef Martín-Peña A, Luque Márquez R, Guerrero MJ et al (2012) Tunneled hemodialysis catheter-related bloodstream infections: a prospective multicenter cohort study from Spain. J Vasc Access 3(2):239–245. doi:10.​5301/​jva.​5000034 CrossRef
28.
go back to reference Moist LM, Trpeski L, Na Y et al (2008) Increased hemodialysis catheter use in Canada and associated mortality risk: data from the Canadian Organ Replacement Registry 2001–2004. Clin J Am Soc Nephrol 3:1726–1732. doi:10.2215/CJN.01240308 Moist LM, Trpeski L, Na Y et al (2008) Increased hemodialysis catheter use in Canada and associated mortality risk: data from the Canadian Organ Replacement Registry 2001–2004. Clin J Am Soc Nephrol 3:1726–1732. doi:10.​2215/​CJN.​01240308
30.
go back to reference Herrington William G, Nye Helen J, Haynes Richard J, Winearls Christopher G, Vaux Emma C (2013) Does prophylactic anticoagulation reduce the risk of femoral tunneled dialysis catheter-related complications? J Vasc Access 14(2):135–142. doi:10.5301/jva.5000117 PubMedCrossRef Herrington William G, Nye Helen J, Haynes Richard J, Winearls Christopher G, Vaux Emma C (2013) Does prophylactic anticoagulation reduce the risk of femoral tunneled dialysis catheter-related complications? J Vasc Access 14(2):135–142. doi:10.​5301/​jva.​5000117 PubMedCrossRef
31.
32.
Metadata
Title
Use of iliac vein tunneled cuffed catheters in elderly hemodialysis patients: a single-center retrospective study
Authors
Lihua Wang
Fang Wei
Guijiang Sun
Haiyan Chen
Haibo Yu
Aili Jiang
Publication date
01-02-2016
Publisher
Springer International Publishing
Published in
Journal of Nephrology / Issue 1/2016
Print ISSN: 1121-8428
Electronic ISSN: 1724-6059
DOI
https://doi.org/10.1007/s40620-015-0198-9

Other articles of this Issue 1/2016

Journal of Nephrology 1/2016 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine