Lihua Wang1, Fang Wei1, Aili Jiang2, Haiyan Chen1, Guijiang Sun1, Xueqing Bi1. 1. Department of Kidney Disease and Blood Purification Center, Institute of Urology and Key Laboratory of Tianjin, 2nd Affiliated Hospital of Tianjin Medical University, 23rd, Pingjiang Road, Hexi District, Tianjin, 300211, People's Republic of China. 2. Department of Kidney Disease and Blood Purification Center, Institute of Urology and Key Laboratory of Tianjin, 2nd Affiliated Hospital of Tianjin Medical University, 23rd, Pingjiang Road, Hexi District, Tianjin, 300211, People's Republic of China. ailiJiang2014@yeah.net.
Abstract
BACKGROUND: Although tunneled cuffed catheters (TCCs) are widely used in hemodialysis, little is known about their complications in elderly patients with hemodialysis. Furthermore, there is no report about which vessel access, either jugular or iliac vein, is superior for elderly patients requiring TCCs. METHODS: In the present study, we reviewed the clinical parameters of 127 patients aged over 65 years with 207 new TCC placements and measured the incidence of catheter patency, infection, dysfunction, and survival of TCCs. RESULTS: We found that the average primary catheter patency was substantially shorter in iliac vein TCCs than in internal jugular vein TCCs (373 vs. 641 catheter-days). Patients with iliac vein TCCs underwent more frequent exchanges than those with internal jugular vein TCCs. Infection-free survival was similar for both groups (p = 0.748), but dysfunction-free survival was significantly poorer in iliac vein TCC group than that in internal jugular vein TCC group (p = 0.001). Age and previous catheter placement were the independent risk factors for TCCs survival. CONCLUSION: Taken together, our results suggested that iliac vein TCCs present an increased risk of dysfunction compared to internal jugular vein TCCs in elderly hemodialysis patients.
BACKGROUND: Although tunneled cuffed catheters (TCCs) are widely used in hemodialysis, little is known about their complications in elderly patients with hemodialysis. Furthermore, there is no report about which vessel access, either jugular or iliac vein, is superior for elderly patients requiring TCCs. METHODS: In the present study, we reviewed the clinical parameters of 127 patients aged over 65 years with 207 new TCC placements and measured the incidence of catheter patency, infection, dysfunction, and survival of TCCs. RESULTS: We found that the average primary catheter patency was substantially shorter in iliac vein TCCs than in internal jugular vein TCCs (373 vs. 641 catheter-days). Patients with iliac vein TCCs underwent more frequent exchanges than those with internal jugular vein TCCs. Infection-free survival was similar for both groups (p = 0.748), but dysfunction-free survival was significantly poorer in iliac vein TCC group than that in internal jugular vein TCC group (p = 0.001). Age and previous catheter placement were the independent risk factors for TCCs survival. CONCLUSION: Taken together, our results suggested that iliac vein TCCs present an increased risk of dysfunction compared to internal jugular vein TCCs in elderly hemodialysis patients.
Authors: V Campean; D Neureiter; I Varga; F Runk; A Reiman; C Garlichs; S Achenbach; B Nonnast-Daniel; K Amann Journal: Kidney Blood Press Res Date: 2006-03-07 Impact factor: 2.687
Authors: Michael Allon; John Daugirdas; Thomas A Depner; Tom Greene; Daniel Ornt; Steve J Schwab Journal: Am J Kidney Dis Date: 2006-03 Impact factor: 8.860
Authors: Matthew J Oliver; David C Mendelssohn; Robert R Quinn; Elizabeth P Richardson; Deeraj K Rajan; Robyn A Pugash; Joyce A Hiller; Alex J Kiss; Charmaine E Lok Journal: Clin J Am Soc Nephrol Date: 2007-10-17 Impact factor: 8.237