Availability of right femoral vein as a route for tunneled hemodialysis catheterization

Shindo, Mitsutoshi; Takemae, Hiroaki; Kubo, Takafumi; Soeno, Masatsugu; Ando, Tetsuo; Morishita, Yoshiyuki

doi:10.2147/mder.s161889

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…In Shindo et al ( 10 )’s research, no factors, including age, sex, body mass index, dialysis condition, comorbidities and medications, were significantly associated with catheter survival. In another study, the previous history of femoral catheterisation was the only factor that affected the mean patency time ( 9 ).…”

Section: Discussionmentioning

confidence: 94%

The Patency Rate of the Primary and Exchanged Femoral Haemodialysis Catheters

Cheraghali

Farshidmehr

2021

MJMS

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Background: This prospective cohort study aims to evaluate the primary and exchanged femoral catheter patency rates, as well as mortality rates and determine the probable risk factors affecting femoral catheter survival. Methods: All 79 tunneled femoral catheters created in our hospital from 2017 to 2020 were included in this study. Patients having no other means for dialysis access other than the femoral catheter was recruited in this study. Data collected included patient age, sex, comorbidities (diabetes and hypertension), transplant history, dialysis duration, catheter complications, femoral access history, and primary and exchanged femoral patency rates. Patients were followed for 4–36 months. Results: The median catheter primary patency was 7 months (95% confidence interval [CI]: 5.77, 8.22) and the primary patency rates at 2, 4 and 6 months were 79%, 68% and 48%, respectively. The median exchanged catheter survival was 8 months (95% CI: 0.83, 15.17) and the exchanged patency rates at 1, 3 and 8 months were 72%, 64% and 32%, respectively. Of the patients (n = 62), 8% (5 patients) died because they had no other option for dialysis access. Conclusion: Tunneled femoral catheters have a low patency rate and should be the last option for haemodialysis patients when other probable accesses are not available.

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Section: Discussionmentioning

confidence: 94%

The Patency Rate of the Primary and Exchanged Femoral Haemodialysis Catheters

Cheraghali

Farshidmehr

2021

MJMS

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“…1 TDC can be chosen as an alternative vascular access in case an arterio-venous fistula or arterio-venous graft failed or hard to create. 2 Furthermore, a TDC is apparently beneficial as a vascular access in cases with acute kidneys injuries, cases with end-stage chronic kidneys disorder that requires vascular access for temporary HD earlier to renal transplanting, and cases who should waited for the progress of an arterio-venous fistula or arteriovenous grafting, for HD maintenance thereafter a surgery. 3 A preceding report revealed that a TDC must be utilized in cases who are proposed to have an indwelling HD catheter for more than two weeks.…”

Section: Introductionmentioning

confidence: 99%

Tunnelled Femoral Vein Catheter for Long Term Haemodialysis in Exhausted Accesses; does High Tip Placement Differ than Low Tip Placement?

Mahdi

Elkerdawi

Aborahma

et al. 2023

Ain Shams Journal of Surgery

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Background: Tunneled dialysis catheters (TDCs) are inserted for hemodialysis (HD in patients with chronic kidney diseases (CKD), with failed arterio-venous fistula (AV). Tunneled femoral vein catheters are commonly used with exhausted internal jugular or subclavian veins catheters. Aim of study:To evaluate flow rate and complications associated with femoral vein catheters for long term HD and to compare the effectiveness of hemodialysis (HD) in cases of high tip versus low tip placement of the catheter.Patients and methods: 40 cases with the only vascular access is the femoral veins. The flow rate, complications and difference between high and low placement of the catheters were investigated.Results: Among the mean URR of the studied cases was 63.58 (±7.62 SD) with range (52-74.8), the mean Kt/V was 1.03 (±0.22 SD) with range (0.73-1.38) and the mean Kt/V was 238.5 (±33.51 SD) with range (182-297). Conclusion:The complication rate of femoral venous catheters appears to be acceptable. Flow rate is better in high tip placed catheters.

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Tunneled femoral dialysis catheters and factors affecting their outcome: a single institution experience

Pokala,

Mesick,

Kim

et al. 2023

J Vasc Access

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Background: To assess a single-center experience with tunneled femoral dialysis catheter usage and outcomes and to identify any operator-dependent factors related to risk of premature catheter failure. Methods: Retrospective review of the institutional radiology information system for tunneled femoral dialysis catheter placement from 2010 to 2017 was performed. Patients for whom the catheter was placed for an indication other than dialysis or who were less than 18 years of age at the time of catheter placement were excluded. Premature catheter failure rate, cause of premature failure, catheter patency (in days) and infection rate were assessed. Operator/placement characteristics, including laterality, catheter tip placement, and catheter length were also assessed. Results: A total of 101 patients were included in the study. This included n = 116 catheter placements. Thirty-four percent of patients ( n = 40) were lost to follow-up, resulting in n = 61 patients and n = 76 catheters analyzed. Premature catheter failure rate was 48% ( n = 36), with low flows being the foremost cause of failure (64%, n = 23). Average primary patency of these catheters was 82.4 days (1–328 days). About 8% of catheters ( n = 3) were complicated by infection, resulting in an infection rate of 0.4/1000 catheter days. None of the operator-dependent factors analyzed, including catheter laterality, catheter tip placement, and catheter length, demonstrated a significant association with premature catheter failure. Conclusions: Institutional primary access patency rates are comparable to or higher than previously published data, while infection rates are similar to or lower than those reported in the literature. None of the operator-dependent factors related to placement was shown to significantly decrease the risk of premature catheter failure. These findings suggest that while femoral dialysis catheters do not function well in the long term relative to internal jugular vein dialysis catheters, prior literature may undervalue their utility and function, particularly given that these catheters are used as a “last resort” for many patients.

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Availability of right femoral vein as a route for tunneled hemodialysis catheterization

Cited by 5 publications

References 14 publications

The Patency Rate of the Primary and Exchanged Femoral Haemodialysis Catheters

The Patency Rate of the Primary and Exchanged Femoral Haemodialysis Catheters

Tunnelled Femoral Vein Catheter for Long Term Haemodialysis in Exhausted Accesses; does High Tip Placement Differ than Low Tip Placement?

Tunneled femoral dialysis catheters and factors affecting their outcome: a single institution experience

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