Peripherally Inserted Central Catheters and Other Intravascular Devices: How Safe Are They for Hemodialysis Patients?

Shingarev, Roman; Allon, Michael

doi:10.1053/j.ajkd.2012.07.003

Cited by 17 publications

(16 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The association between coronary artery disease and early AVG thrombosis is harder to explain, but perhaps coronary artery disease is a surrogate marker for accelerated intimal hyperplasia that leads to rapid AVG stenosis and thrombosis 23 . Finally, the association of an ipsilateral catheter and shortened AVG patency is consistent with a prior publication from our center 24 .…”

Section: Discussionsupporting

confidence: 88%

Outcomes of arteriovenous fistulas and grafts with or without intervention before successful use

Harms

Rangarajan

Young

et al. 2016

Journal of Vascular Surgery

Self Cite

View full text Add to dashboard Cite

Objective Arteriovenous fistulas (AVF) are considered superior to arteriovenous grafts (AVG) because of longer secondary patency after successful cannulation for dialysis. We evaluated whether access interventions before successful cannulation impact the relative longevity of AVF and AVG after successful use. Methods This retrospective study of a prospective database identified patients who initiated dialysis with a catheter, and subsequently had a permanent access (289 AVF and 310 AVG) placed between 1/1/06-12/31/11 and successfully cannulated for dialysis at a large medical center. Patients were followed until 6/30/14, and we evaluated the clinical outcomes (secondary patency and frequency of interventions) of the vascular accesses. Results An intervention before successful cannulation was required more frequently with AVF than with AVG (50.5 vs 17.7%; OR 4.74; 95% CI 3.26 to 6.86, P < .0001). As compared to AVF that matured without interventions, those that required intervention had shorter secondary patency after successful cannulation (HR 1.84; 95% CI 1.30–2.60, P < .0001) and required more interventions per year after successful use (RR 1.81; 95% CI 1.49–2.20, P < .0001). Similarly, AVG that required intervention before successful cannulation had shorter secondary patency than those without prior intervention (OR 1.98, 95% CI 1.52 to 4.02, P < .0001) and required more interventions per year after successful use (RR 1.49; 95% CI 1.27–1.74, P < .0001). AVF requiring intervention before maturation had inferior secondary patency as compared to AVG that were cannulated without prior intervention (HR 1.45, 95% CI 1.08 to 2.01, P = 0.01), but required fewer annual interventions after successful use (RR 0.57; 95% CI 0.49–0.66, P < .0001). Conclusions The patency advantage of AVF over AVG is no longer evident in patients requiring an AVF intervention prior to successful cannulation, but the AVF require fewer interventions after successful use.

show abstract

Section: Discussionsupporting

confidence: 88%

Outcomes of arteriovenous fistulas and grafts with or without intervention before successful use

Harms

Rangarajan

Young

et al. 2016

Journal of Vascular Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…There is evidence that catheter lumen diameter and the size of the occupied veins may be influential determinants of venous thrombosis . In an autopsy study, RIJ vein diameter was noted to be 13.4 (10–20) mm .…”

Section: Discussionmentioning

confidence: 99%

“…Given reports of favorable venous outcomes in other clinical settings, it is not surprising that we found lower rates of DVTs with TSB‐CVCs (lumen diameter 4–6 Fr) as compared to PICCs in our cohort of CKD/ESRD patients. Other than vein‐ to‐ catheter diameter ratio, PICC‐related factors which may predispose patients to higher venous thrombosis include a longer catheter length leading to a larger surface area of vein‐catheter contact . Direct insertion of PICC into the arm veins (primarily the basilic and cephalic veins) with the resulting local trauma in these future targets for dialysis access is also a factor to consider in CKD/ESRD patients…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies have shown that the catheter to vein ratio is a significant factor in the development of venous thrombosis . In this study, we evaluate the safety and performance of small bore catheters (4–6 Fr) tunneled into central neck veins (TSB‐CVC) for medium to long‐ term infusion therapy in a cohort composed primarily of individuals with CKD/ESRD.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluating safety of tunneled small bore central venous catheters in chronic kidney disease population: A quality improvement initiative

Bhutani

Ters

Kremers

et al. 2016

Hemodialysis International

View full text Add to dashboard Cite

show abstract

“…Recognizing that PICCs can damage vessels and render them unusable for dialysis is an important aspect of care. Shingarev and Allon (9) showed that PICCs are associated with high rates of upper extremity venous thrombosis and residual central venous stenosis. Chopra et al (1), in a meta-analysis, reported that PICCs were strongly associated with deep venous thrombosis but not pulmonary embolism.…”

mentioning

confidence: 99%

Nephrologists Versus Peripherally Inserted Central Catheters: Are the PICCs Winning?

Kalloo

Wish

2016

CJASN

View full text Add to dashboard Cite

Peripherally Inserted Central Catheters and Other Intravascular Devices: How Safe Are They for Hemodialysis Patients?

Cited by 17 publications

References 26 publications

Outcomes of arteriovenous fistulas and grafts with or without intervention before successful use

Outcomes of arteriovenous fistulas and grafts with or without intervention before successful use

Evaluating safety of tunneled small bore central venous catheters in chronic kidney disease population: A quality improvement initiative

Nephrologists Versus Peripherally Inserted Central Catheters: Are the PICCs Winning?

Contact Info

Product

Resources

About