Hemodialysis Tunneled Central Venous Catheters: Five-Year Outcome Analysis

Mandolfo, Salvatore; P, Acconcia; Bucci, Raffaella; Corradi, Bruno; Farina, Marco; Rizzo, Maria Antonietta; Stucchi, Andrea

doi:10.5301/jva.5000236

Cited by 25 publications

(24 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…And the median survival time in patients using tCVCs as long-time vascular access was less than 3 years [3,14]. In contrast to our study, the median survival time of our patients was 56.3 months, and the patients' survival rates were 90, 77, 67, and 55% at 1, 2, 3, and 4 years, respectively by Kaplan-Meier analysis, and no one died of vascular exhausting.…”

Section: Discussioncontrasting

confidence: 47%

See 1 more Smart Citation

Catheter Failure and Mortality in Hemodialysis Patients with Tunneled Cuffed Venous Catheters in a Single Center

Shi¹,

Cui²,

Ma³

et al. 2017

Blood Purif

View full text Add to dashboard Cite

Background: As of now, only a few studies have focused on the failure of tunneled cuffed venous catheter (tCVC) and mortality of hemodialysis (HD) patients using tCVC as long-term vascular access, whose vascular condition for arteriovenous fistula was not very satisfactory. In this study, we aimed to provide information about the first tCVC failure and survival rates of patients in this population. Methods: Fifty-nine patients who used tCVC from January 1, 2009 to December 31, 2014 in our HD center were analyzed in this retrospective study and followed up either until their death or until December 31, 2015. The first tCVC and patient survival rates were analyzed. Results: The incidence of catheter-related infections was 0.3 per 1,000 patient-days. The median survival duration of first tCVC was 45.0 (95% CI 29.3-69.7) months and the median survival time of all patients was 56.3 (95% CI 34.1-78.5) months by Kaplan-Meier analysis. Advanced age (hazard ratio [HR] 1.055, p < 0.05) and diabetic mellitus (HR 4.147, p < 0.05) at the initiation of HD were significant risk factors of first tCVC failure, while male (HR 2.712, p < 0.05) and cardiovascular diseases (CVDs; HR 4.139, p < 0.05) were significant risk factors for patient mortality as deduced by Cox proportional hazards methods. Conclusions: The study highlighted that first tCVC survival rates and patient survival rates were high in HD patients who were using tCVCs as long-term vascular access, with low incidence of catheter-related infections. In the study it was found that advanced age and diabetic mellitus at the initiation of HD influenced first tCVC failure, whereas male and CVDs seemed to be risk factors for patient mortality.

show abstract

Section: Discussioncontrasting

confidence: 47%

“…The incidence of catheter-related infections increased from 0.3 to 5.5 per 1,000 patient-days [14,15]. The success rate of antibiotic lock protocol in eradicating catheter-related infection was approximately 60-87% [14,16,17].…”

Section: Discussionmentioning

confidence: 99%

Catheter Failure and Mortality in Hemodialysis Patients with Tunneled Cuffed Venous Catheters in a Single Center

Shi¹,

Cui²,

Ma³

et al. 2017

Blood Purif

View full text Add to dashboard Cite

show abstract

“…Another study found the survival of patients with tunneled CVCs was 66% at 1 year and 37% at 3 years, 22 which was lower than survival in our study of 86.2% at 1 year and 64% at 3 years, possibly due to the short interval from CVC insertion to RCF first use. This also explains the similar survival rates in patients with or without CVCs that are in line with consistent evidence that mortality is reduced when a CVC in a dialysis patient is converted to a fistula or graft.…”

Section: Discussioncontrasting

confidence: 84%

Upper limb vascular calcification score as a predictor of mortality in diabetic hemodialysis patients

Georgiadis

Argyriou

Antoniou

et al. 2015

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…Previous studies usually reported similar (Mandolfo et al, 2014) or less favorable catheter survival (Sampathkumar et al, 2011;Little et al, 2001;Ewing et al, 2002;Shingarev et al, 2013). In one of the largest studies reporting outcome of 573 catheters, only 47% of THCs had survived for 1 year.…”

Section: A B C Dmentioning

confidence: 98%

Survival of tunneled hemodialysis catheters after percutaneous placement.

et al. 2016

View full text Add to dashboard Cite

Nearly 90% of all inserted catheters gave reliable dialysis access as long as it was needed. Among them, over 30% of the inserted catheters were in use at the end of the observation period, and over 30% of patients had died with a functioning catheter. The results of tunneled catheters survival are encouraging and they should be taken into consideration during decision-making on vascular access, especially in the older patients.

show abstract

Hemodialysis Tunneled Central Venous Catheters: Five-Year Outcome Analysis

Cited by 25 publications

References 20 publications

Catheter Failure and Mortality in Hemodialysis Patients with Tunneled Cuffed Venous Catheters in a Single Center

Catheter Failure and Mortality in Hemodialysis Patients with Tunneled Cuffed Venous Catheters in a Single Center

Upper limb vascular calcification score as a predictor of mortality in diabetic hemodialysis patients

Survival of tunneled hemodialysis catheters after percutaneous placement.

Contact Info

Product

Resources

About