Outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at Zenith Medical and Kidney centre, Nigeria

Faponle, A.; Olatise, Olalekan; Igbokwe, Martin; Asaolu, Stephen Olabode

doi:10.4103/njm.njm_77_20

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…Although arteriovenous fistula is the primary mode of vascular access for hemodialysis, but for immediate access tunneled and non-tunneled venous catheters are used. 12 Non-tunneled venous catheters were most commonly used in our set up due to easy availability, low cost and lack of expertise. However these non-tunneled catheters are associated with high risk of infection and increased chances of dislodgement.…”

Section: Discussionmentioning

confidence: 99%

Experience of permacath placement in patients with end stage renal failure in a tertiary hospital

Ali,

Mustafa

et al. 2023

Anaesth. pain intensive care

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Background & objective: Renal failure patients often need hemodialysis to optimize the deranged fluid and electrolyte balance in their blood. It involves drawing patients’ venous blood, route it through the hemodialysis (HD) machine and pump it back into the blood circulation. Frequent HD is conveniently performed through large bore, double lumen catheters and to prevent infection it is tunneled for a few centimeters. We conducted this retrograde study to determine the frequency of complications of tunneled permacath insertions in patients with end stage renal disease (ESRD) undergoing hemodialysis in our tertiary hospital Methodology: This retrograde descriptive study was conducted at Department of Anesthesiology, Fauji Foundation Hospital, Rawalpindi. from 1st Jan, 2019 – 1st Jan 2023. We searched and included data from the patient records of 804 patients in whom permacath was inserted for hemodialysis under ultrasound guidance and follow-up was done for 8 weeks. Data was retrieved and stored on a Performa and was analyzed on SPSS version 16. Results: Out of 812 permanent catheters passed in 804 patients, 19% had complications. The most common complication was catheter thrombosis (8%), followed by local site bleeding (5%), infection (3%), arterial prick (2%) and hematoma formation (1%). Conclusion: Tunneled permacath central venous catheter can be used in patients undergoing hemodialysis until maturation of arteriovenous fistula. It is quite a safe procedure under ultrasound guidance, but strict vigilance is required to prevent short-term and long-term complications. Key words: Central Venous Catheters; Renal Dialysis; Thrombosis; Hematoma; Kidney Failure, Chronic; Fluoroscopy; Ultrasonography. Citation: Ali L, Ali T, Mustafa SI, Qureshi AA. Experience of permacath placement in patients with end stage renal failure in a tertiary hospital. Anaesth. pain intensive care 2022;27(2):726−730; DOI: 10.35975/apic.v27i2.2357 Received: June 24, 2023; Revised: September 26, 2023; Accepted: November 15, 2023

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Section: Discussionmentioning

confidence: 99%

Experience of permacath placement in patients with end stage renal failure in a tertiary hospital

Ali,

Mustafa

et al. 2023

Anaesth. pain intensive care

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Patterns of vascular access among chronic kidney disease patients on maintenance hemodialysis at Muhimbili National Hospital. A single centre cross-sectional study

Msilanga,

Shoo,

Mngumi

2024

PLOS Glob Public Health

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Hemodialysis vascular access profoundly impacts the quality of care for chronic kidney disease (CKD) patients worldwide, with arteriovenous fistulas (AVFs) preferred for superior outcomes. Despite global guidelines, Sub-Saharan Africa, including Tanzania, faces challenges, by still relying on non-tunneled central venous catheters (CVCs) due to accessibility and financial constraints. We aimed to describe the pattern of vascular access use among CKD patients on maintenance hemodialysis at Muhimbili National Hospital. A cross‑sectional study to describe the pattern of vascular access among patients with CKD on maintenance hemodialysis therapy. Descriptive statistics were used to summarize the baseline characteristics and patterns of vascular access. Our study received ethical clearance from the Muhimbili National Hospital Research Ethics Committee (Ref: MNH/IRB/VOL.1/2024/005). All consent forms were written and provided in English or Swahili. We analysed 200 study participants, with a mean age of 53.3 (14.5) years. Almost all participants initiated hemodialysis with nontunneled central venous catheters (95.5%). A substantial portion continued to use non-tunneled CVCs (25.5%) with mean duration of 7.1 (2.1) months, some transitioning to tunneled CVCs (39.5%) or AVFs (35%). Among patients with multiple nontunneled catheters, catheter dislodgement was the main indication for catheter replacement. Our study highlights the prevalent use of nontunneled central venous catheters (CVCs) as the primary vascular access method for CKD patients undergoing hemodialysis at Muhimbili National Hospital, Tanzania. These findings underscore the urgent need for analysis of the cost associated with non-tunneled catheter reliance and interventions to improve access to AVFs and enhance vascular access management, ultimately optimizing patient outcomes in resource-limited settings.

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Case report on the management of failed tunneled hemodialysis catheter insertion

Raji

Osobu

Abiola

et al. 2021

West African Journal of Radiology

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Hemodialysis vascular access is critical to ensuring adequate hemodialysis sessions. Tunneled internal jugular vascular (IJV) access is a type of intermediate access that has become increasingly useful in low- and middle-income countries, where there are not many vascular surgeons with expertise in arteriovenous fistula creation. We presented a 69-year-old male who had complicated IJV catheter insertion, with the catheter located in the pulmonary vascular bed of the left lung and associated left-sided hemothorax. He was managed by multidisciplinary team of nephrologists, radiologists, and cardiothoracic surgeons, who removed the catheter under fluoroscopic guidance without any complication or need for open thoracotomy. The case highlighted the utility of fluoroscopy in aiding hemodialysis catheter insertion, removal, and management of its complications.

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Outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at Zenith Medical and Kidney centre, Nigeria

Cited by 3 publications

References 25 publications

Experience of permacath placement in patients with end stage renal failure in a tertiary hospital

Experience of permacath placement in patients with end stage renal failure in a tertiary hospital

Patterns of vascular access among chronic kidney disease patients on maintenance hemodialysis at Muhimbili National Hospital. A single centre cross-sectional study

Case report on the management of failed tunneled hemodialysis catheter insertion

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