EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES

Objective: To determine the patency rates and reasons for failure using different access routes for tunneled hemodialysis catheters.Methods: The records of patients who underwent insertion of 14 French tunnelled hemodialysis catheters were retrospectively analyzed. Catheterpatency survival was demonstrated using Kaplan-Meier survival curve. Catheter failure and exchange reasons were evaluated.Results: One hundred and six patients underwent 474 catheter exchanges (mean/patient 4.47±1.62). Access was via right internal jugular vein (IJV)n=40, left IJV n=23, right femoral vein (FV) n=18, left FV n=11 and transhepatic vein n=14. The causes of catheter failure and exchange were:catheter-associated infection, catheter thrombosis, fibrin sheath and catheter tip malposition. Mean primary and cumulative catheter patency time(721 and 1276 days, respectively) was higher in the right IJV group compared with the others (p<0.001). The same parameters were lowest in thetranshepatic group, being 118 and 466 days, for primary and cumulative patency, respectively (p<0.001). The incidence of catheter-related infectionswas higher in the left FV (0.42/100 patient-days) and catheter tip malposition was higher in the transhepatic (0.38/100 patient-days) and in the leftIJV (0.32/100 patient-days).Conclusion: The use of right IJV should be the first option for hemodialysis access route. Based on our findings, if right IJV is unavailable theoptimal access routes in order would be left IJV, right FV, left FV and finally transhepatic vein

Anahtar Kelime: Vascular access Fibrin sheath Catheter dysfunction Hemodialysis Tunneled catheter Catheter survival rate

FARKLI VASKÜLER GİRİŞ YOLLARINDA TÜNELLİ HEMODİYALİZ KATETERLERİNİN DEĞERLENDİRİLMESİ

Öz:

Amaç: Tünelli hemodiyaliz kateterleri için farklı vasküler erişim yollarında açıklık oranlarını ve tıkanma nedenlerini belirlemektir. Yöntem: 14 french tünelli hemodiyaliz kateteri takılan 106 hastanın kayıtları retrospektif olarak analiz edildi (40 sağ internal jugular ven (İJV), 23 sol İJV, 18 sağ femoral ven (FV), 11 sol FV ve 14 transhepatik ven). Kateter açıklık sağkalımı Kaplan-Meier eğrisi kullanılarak gösterildi. Kateter tıkanma ve değişim nedenleri değerlendirildi. Bulgular: Tüm hastalarda toplam 474 kateter değişimi yapıldı (ortalama değişim sayısı: 4,47±1,62). Kateter tıkanma ve değişim nedenleri, kateterle ilişkili enfeksiyon, kateter trombozu, fibrin kılıfı ve kateter malpozisyonu idi. Sağ İJV grubunda ortalama primer ve kümülatif kateter açıklık süresi diğerlerine göre daha yüksekti (p<0,001). Sağ İJV grubunda ortalama kateter birincil ve kümülatif açıklık süresi sırasıyla 721 ve 1276 gündü; diğer yandan transhepatik grupta en düşüktü (p<0,001). Transhepatik grupta ortalama kateter birincil ve kümülatif açıklık süreleri sırasıyla 118 ve 466 gündü. Kateterle ilişkili enfeksiyonların insidansı sol FV'de (100 hasta günü için 0,42) daha yüksek, kateter malpozisyonu ise transhepatik (100 hasta günü için 0,38) ve sol İJV'de (100 hasta günü için 0,32) daha yüksekti. Sonuç: Tünelli hemodiyaliz kateteri için ilk erişim yolu sağ İJV olmalıdır. Çalışmamızın sonuçlarına göre sağ İJV kullanılabilir değilse; sırasıyla sol İJV, sağ FV, sol FV ve transhepatik erişim yolları kullanılmalıdır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ÇAM İ, genez s, şengül e, Koc U, Yalnız A, Çakır Ö, ergül m, Yaşar S, Altintas Taslicay C, ÇİFTÇİ E (2021). EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES. , 168 - 173. 10.30934/kusbed.884274
Chicago	ÇAM İsa,genez samet,şengül erkan,Koc Ural,Yalnız Ahmet,Çakır Özgür,ergül metin,Yaşar Servan,Altintas Taslicay Ceylan,ÇİFTÇİ ERCÜMENT EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES. (2021): 168 - 173. 10.30934/kusbed.884274
MLA	ÇAM İsa,genez samet,şengül erkan,Koc Ural,Yalnız Ahmet,Çakır Özgür,ergül metin,Yaşar Servan,Altintas Taslicay Ceylan,ÇİFTÇİ ERCÜMENT EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES. , 2021, ss.168 - 173. 10.30934/kusbed.884274
AMA	ÇAM İ,genez s,şengül e,Koc U,Yalnız A,Çakır Ö,ergül m,Yaşar S,Altintas Taslicay C,ÇİFTÇİ E EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES. . 2021; 168 - 173. 10.30934/kusbed.884274
Vancouver	ÇAM İ,genez s,şengül e,Koc U,Yalnız A,Çakır Ö,ergül m,Yaşar S,Altintas Taslicay C,ÇİFTÇİ E EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES. . 2021; 168 - 173. 10.30934/kusbed.884274
IEEE	ÇAM İ,genez s,şengül e,Koc U,Yalnız A,Çakır Ö,ergül m,Yaşar S,Altintas Taslicay C,ÇİFTÇİ E "EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES." , ss.168 - 173, 2021. 10.30934/kusbed.884274
ISNAD	ÇAM, İsa vd. "EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES". (2021), 168-173. https://doi.org/10.30934/kusbed.884274

APA	ÇAM İ, genez s, şengül e, Koc U, Yalnız A, Çakır Ö, ergül m, Yaşar S, Altintas Taslicay C, ÇİFTÇİ E (2021). EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 7(2), 168 - 173. 10.30934/kusbed.884274
Chicago	ÇAM İsa,genez samet,şengül erkan,Koc Ural,Yalnız Ahmet,Çakır Özgür,ergül metin,Yaşar Servan,Altintas Taslicay Ceylan,ÇİFTÇİ ERCÜMENT EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 7, no.2 (2021): 168 - 173. 10.30934/kusbed.884274
MLA	ÇAM İsa,genez samet,şengül erkan,Koc Ural,Yalnız Ahmet,Çakır Özgür,ergül metin,Yaşar Servan,Altintas Taslicay Ceylan,ÇİFTÇİ ERCÜMENT EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, vol.7, no.2, 2021, ss.168 - 173. 10.30934/kusbed.884274
AMA	ÇAM İ,genez s,şengül e,Koc U,Yalnız A,Çakır Ö,ergül m,Yaşar S,Altintas Taslicay C,ÇİFTÇİ E EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi. 2021; 7(2): 168 - 173. 10.30934/kusbed.884274
Vancouver	ÇAM İ,genez s,şengül e,Koc U,Yalnız A,Çakır Ö,ergül m,Yaşar S,Altintas Taslicay C,ÇİFTÇİ E EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi. 2021; 7(2): 168 - 173. 10.30934/kusbed.884274
IEEE	ÇAM İ,genez s,şengül e,Koc U,Yalnız A,Çakır Ö,ergül m,Yaşar S,Altintas Taslicay C,ÇİFTÇİ E "EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES." Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 7, ss.168 - 173, 2021. 10.30934/kusbed.884274
ISNAD	ÇAM, İsa vd. "EVALUATION OF TUNNELED HEMODIALYSIS CATHETERS IN DIFFERENT VASCULAR ACCESSES". Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 7/2 (2021), 168-173. https://doi.org/10.30934/kusbed.884274