Double-lumen catheter in the right jugular vein induces two sub-endothelial abscesses in an unusual place, the transition between the superior vena cava and the right atrium: a case report

Lima, João Kennedy Teixeira; Lima, Sylvia Rannyelle Teixeira; Junior, Antonio Leonel de Lima; Agra, Cícero Valdizébio Pereira; Valenti, Vítor Engrácia; Gomes, Rayana Loch; Rodrigues, Luciano Miller Reis; Corrêa, João Antônio; Raimundo, Rodrigo Daminello; Abreu, Luíz Carlos de

doi:10.1186/1755-7682-7-37

Cited by 4 publications

(5 citation statements)

References 14 publications

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“…Likewise, previous reports showed a negative effect of the presence of the cardiac implantable electronic devices on the development of infectious complications. Endocarditis, bacteremia and sepsis were often complications observed in this population, especially in patients dialyzed with permanent catheters [17,23,25,26,33]. Infectious complications caused by a dialysis catheter are a serious problem.…”

Section: Discussionmentioning

confidence: 91%

“…Blood infection due to vascular access is a serious challenge both in terms of diagnosis and therapy, which is especially noticeable in intensive care units, where it accounts for about 20-40% of all hospital infections [22][23][24]. The current study confirmed a low probability of survival of patients with infectious complications (53,85%) during the follow-up period, however, it was comparable to the high mortality rate of dialyzed patients without infection (49.25%; P = 0,588).…”

Section: Discussionmentioning

confidence: 99%

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Infection-related complications in patients with end stage renal failure dialyzed through a permanent catheter

et al. 2020

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Introduction: Progression of renal failure leads to an increase in the number of patients who require forming dialysis access. Old age and rising morbidity make it impossible to form a native arteriovenous fistula and a permanent catheter becomes the first choice. The presence of a catheter frequently generates complications, including infections, which may result in a higher mortality rate. Material and methods: A retrospective analysis data has been conducted, involving 398 patients who had permanent catheters implanted from 2010 to 2016. Out of this group, 65 patients who suffered infectionrelated complications have been identified. Risk factors for infection and a survival rate of the population have been estimated. Results: Between 2010 and 2016, 495 catheters were implanted for 398 patients aged 68.73 (13.26) years on average. 92 catheter-related infections (23.1%) were recorded in 65 patients. Multivariate logistic regression showed, that the risk factors of infectious complications were: younger age (P = 0.000), coronary artery disease (P = 0.006) and heart failure (P = 0.000). Mortality in the mean 1.38 ± 1.17 years followup period was comparable in infectious and non-infectious subgroups (53.85% vs 49.25%; P = 0.588). A higher risk of death in the infectious population was associated with the presence of additional intravascular and intracardiac implanted materials (P = 0.027) and a severe course of infection with hypotension (P = 0.027), thrombocytopenia (P = 0.029) and a high leucocytes/platelets ratio (0.017). Conclusion: Infectious complications in patients dialyzed with permanent catheters are dangerous especially in patients with severe clinical course. The mortality rate is high, although similar to all dialyzed by permanent catheters.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Infection-related complications in patients with end stage renal failure dialyzed through a permanent catheter

et al. 2020

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“…In addition to local infections, distant infections occur, in the form of abscesses of the lungs and the spine, as well as infectious endocarditis and systemic infection -sepsis [2,[10][11][12][13][14][15].…”

Section: Complications Following Av (Arterio-venous) Fistula Creationmentioning

confidence: 99%

“…Literature in the field indicates that in the majority of patients with fistula infection, especially in the case of those made of artificial materials, it is necessary to remove the fistula and generate a new one. An indication to remove the fistula as fast as possible is the determination, based on the bacteriological examination of cultures from the fistula, of the presence of Staphylococcus aureus MRSA or Pseudomonas aeruginosa [1,11,12].…”

Section: Complications Following Av (Arterio-venous) Fistula Creationmentioning

confidence: 99%

Early and long-term complications in haemodialysis vascular access

Szarnecka-Sojda¹,

Miszczuk²,

Polewczyk³

2018

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The paper presents vascular accesses used for the purpose of haemodialysis in patients with end-stage renal disease. The recommendations of the NKF K/DOQI concern performing a first-time permanent access in the form of an autogenous fistula. Attention has been paid to accurate diagnostic imaging of blood vessels. Early and long-term complications of functioning fistulas are presented, together with the manner of their treatment. Dialysis catheters are also described as the only possibility of dialysis in patients with contraindications to the creation of fistulas. Bloodstream infections are the most common complication of dialysis with catheters. An important element of prevention is monitoring the function of catheters, which reduces the need for medical intervention. New solutions improving the functioning of vascular access have also been presented. Careful use of vascular access, as well as fistula and catheter site function monitoring, contributes to extending the lifespan of an access and reduces complications. Streszczenie W pracy przedstawiono dostępy naczyniowe używane w celu prowadzenia hemodializ u chorych ze schyłkową niewydolnością nerek. Uwzględniono zalecenia NKF K/DOQI dotyczące wytworzenia pierwszorazowego dostępu, jakim jest autogenna przetoka. Zwrócono uwagę na dokładną diagnostykę obrazową naczyń. Przedstawiono powikłania wczesne oraz odległe funkcjonujących przetok z uwzględnieniem sposobu ich leczenia. Opisano również cewniki dializacyjne jako jedyny możliwy dostęp do dializy u chorych z przeciwwskazaniami do wytworzenia przetok. Powikłania infekcyjne u osób dializowanych przez cewnik występują bardzo często, dlatego ważnym elementem profilaktyki infekcji jest monitorowanie i utrzymanie drożności cewników dializacyjnych. W artykule przedstawiono nowe rozwiązania, które poprawiają działanie dostępów naczyniowych. Ostrożność przy korzystaniu z dostępów naczyniowych, monitorowanie ich funkcji i miejsc wkłucia sprzyja wydłużeniu żywotności dostępów i ogranicza powikłania.

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“…The arteriovenous fistula (AVF) are widely recommended to offers higher patency rates, lower mortality and morbidity, and lower costs compared with central venous catheters or arteriovenous grafts. [2][3][4]. An ideal access delivers a flow rate adequate for the dialysis prescription, has a long use-life, and has a low rate of complications (infection, stenosis, thrombosis, aneurysm, and limb ischemia).…”

Section: Introductionmentioning

confidence: 99%

Haemodialysis access: clinical and epidemiological profile of patients and their vascular access in interior of Brazil

Lima

Almeida³

et al. 2015

Int Arch Med

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Double-lumen catheter in the right jugular vein induces two sub-endothelial abscesses in an unusual place, the transition between the superior vena cava and the right atrium: a case report

Cited by 4 publications

References 14 publications

Infection-related complications in patients with end stage renal failure dialyzed through a permanent catheter

Infection-related complications in patients with end stage renal failure dialyzed through a permanent catheter

Early and long-term complications in haemodialysis vascular access

Haemodialysis access: clinical and epidemiological profile of patients and their vascular access in interior of Brazil

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