Non-imaging assisted insertion of un-cuffed, non-tunneled internal jugular venous catheters for hemodialysis: Safety and utility in modern day world

Rathi, Manish; Pinnamaneni, Venkata Siva Tez; Sakhuja, Vinay

doi:10.1016/j.bj.2015.12.004

Cited by 7 publications

(5 citation statements)

References 14 publications

(18 reference statements)

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“…The incidence of catheter-related infection averages 8.7 per 1000 catheter-days. 17 The site of catheter insertion plays a significant role in the magnitude of the infectious risk. The femoral route is apparently less favorable than subclavian or jugular routes.…”

Section: Discussionmentioning

confidence: 99%

Catheter related infection in hemodialysis patients with double lumen catheter.

Ali

Das

Kumar

et al. 2019

TPMJ

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Catheter related infections are common issue, a major cause of morbidity and mortality in patients with uremia. Clinical findings, including fever, redness, or tenderness at catheter site are unreliable for the diagnosis of catheter-related infection due to poor sensitivity and specificity. Study Design: Descriptive Cross sectional Study. Setting: Department of Nephrology, Jinnah Postgraduate Medical Centre, Karachi. Period: September 2014 to March 2015. Materials and Methods: All patients with age 25-50 years of either gender undergoing hemodialysis via double-lumen catheter were enrolled. Regular monitoring of temperature and WBC counts was carried out. If a patient develops fever (100 F or more) or leukocytosis (TLC 12,000 /mcl), a through re-examination, urinalysis and chest X-ray was done to exclude other causes of infection in this patient. Blood cultures from catheter tip and a peripheral blood culture was sent. Growth of the organism from both the cultures was noted and catheter related infection was termed positive if same organism s found to be present in both the cultures. Results: Mean age of the patients was 42.69 ±6.86 years. There were 75 (58.10%) females and 54 (41.90%) males. In majority of the patients, site of catheter was right internal jugular vein 54 (41.90%), followed by femoral vein 30 (23.30%), left internal jugular vein 24 (18.60%) and subclavian vein in 21 (16.30%) patients. Frequency of catheter related infection was found to be 19 (14.70%). Conclusion: The frequency of catheter related infection was found in 19 (14.70%) patients undergoing hemodialysis via double-lumen catheter.

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Section: Discussionmentioning

confidence: 99%

Catheter related infection in hemodialysis patients with double lumen catheter.

Ali

Das

Kumar

et al. 2019

TPMJ

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“…Various risk factors associated with tunneled cuffed catheter dysfunction have been reported in the literature (8). One of these risk factors is related to the central vein where the catheter will be placed through.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors Associated with Dysfunction of Permanent Tunneled Cuffed Hemodialysis Catheters; Single Center Experience

Yildiz¹

2021

Acibadem Universitesi Saglik Bilimleri Dergisi

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Permanent tunneled cuffed catheters are frequently preferred for hemodialysis in patients with chronic renal failure (CRF), but the factors associated with the dysfunction of these catheters are not well known. Our goal is to investigate these risk factors. Materials and Methods:All cases with a diagnosis of CRF and a permanent tunneled cuffed catheter inserted into the central vein for the first time in our radiology clinic between 2014 and 2019 and who developed catheter dysfunction were included in the study. Demographic and clinical data of the cases were obtained from file records. The relationship between the causes of catheter dysfunction and the presence of diabetes and hypertension was investigated.Results: Of the total 123 cases, 78 (63.4%) were male, 45 (36.6%) were female, the median age was 55 (28-78). Twenty-nine (23.6%) of the cases had thrombosis, 72 (58.5%) had venous stenosis and 22 (17.9%) had catheter dysfunction due to fibrin sheath. Dysfunction groups were compared with each other in terms of age, gender, duration of operation of the catheter, CRF etiology, comorbid diseases, the vein where the catheter was placed and the use of anticoagulants. The most important cause of catheter dysfunction in the early period was thrombosis (p = 0.003). When the causes of dysfunction were examined, the most common causes of dysfunction were venous stenosis in patients with hypertension, thrombosis in patients with diabetes as a concomitant disease without diabetes in the etiology of CRF, and thrombosis in patients with diabetes in CRF etiology (p <0.001). In addition, it was found that catheter dysfunction due to thrombosis developed less in patients using anticoagulants (p <0.001). There was no statistically significant difference between the groups in terms of other parameters (p> 0.05). Conclusion:The use of low-dose anticoagulants plays a protective role against thrombosis. The use of low-dose anticoagulants in patients without contraindications, especially in diabetic patients, may reduce especially early catheter dysfunction.

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“…These factors could have influenced catheter dysfunction and patient survival. 28,29 Nevertheless, there has been no evidence of cost benefit about ultrasound use regarding patient clinical outcomes. 30 Therefore, our data may provide an increased understanding of long-term outcome of the posterior approach technique for TCCs with anatomical landmarks, which is less equipment dependent and relatively inexpensive compared to ultrasound guidance technique.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcome of posterior approach insertion of tunneled cuffed catheter: A single clinic retrospective analysis

et al. 2020

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Background and objectives: For patients who rely on a tunneled cuffed catheter, the internal jugular vein is the preferred site of insertion. A few studies have suggested that the posterior approach for central lines is equivalent or better in comparison to the conventional central approach. However, there have been fewer studies examining tunneled cuffed catheter insertion using the posterior approach. We have performed many posterior insertions of tunneled cuffed catheters in our practice, and because the technique has not yet been comprehensively studied for long-term use, we performed a retrospective study to evaluate the safety and efficacy of posterior approach for tunneled cuffed catheter in maintained hemodialysis patients. Methods: A retrospective review was conducted of 200 hemodialysis patients who were treated with tunneled cuffed catheters over a period of 3 years. There were 104 patients in the study group, as well as a 96-patient control group, who underwent catheter insertion by central approach. The clinical follow-up data were collected and analyzed. Results: All catheters were successfully placed. The mean primary patency days per catheter were 712 catheter days for the study group and 585 catheter days for the control group. The episode of catheter infection was similar in both groups (p = 0.874), but the case of total catheter dysfunction was significantly lower in the study group compared to the control group (p = 0.006). The cumulative patency of catheters was higher in the study group than that in the control group (p = 0.02), while patient survival was the same in the two groups (p = 0.325). Conclusion: The posterior approach is safe, and similar infection rates were observed with lower dysfunction rates compared to tunneled catheter insertion by the conventional central approach.

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Non-imaging assisted insertion of un-cuffed, non-tunneled internal jugular venous catheters for hemodialysis: Safety and utility in modern day world

Cited by 7 publications

References 14 publications

Catheter related infection in hemodialysis patients with double lumen catheter.

Catheter related infection in hemodialysis patients with double lumen catheter.

Risk Factors Associated with Dysfunction of Permanent Tunneled Cuffed Hemodialysis Catheters; Single Center Experience

Long-term outcome of posterior approach insertion of tunneled cuffed catheter: A single clinic retrospective analysis

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