The longevity of temporary hemodialysis catheters by insertion site in patients undergoing hemodialysis: systematic review

Abstract

Patients with advanced stage chronic kidney disease (cKd) often require hemodialysis as renal replacement therapy. However, the use of temporary non-cuffed, non-tunneled hemodialysis catheters for vascular access is frequently associated with complications. this study aims to evaluate the durability of temporary hemodialysis catheters based on the insertion site in hemodialysis patients. following the PrIsMa guidelines, we systematically searched electronic reference databases (PubMed, sciencedirect, and google scholar). We included articles published in English between 2000 and 2023 that utilized prospective, retrospective, or cross-sectional observational methods, focusing on the durability of temporary hemodialysis catheters and insertion sites. Our study involved 2076 hemodialysis patients from five populations, with mean ages ranging from 48.7±16.7 to 60.6±16.0 years. the duration of catheter use at the internal jugular vein (IJV) insertion site ranged from 21.6±14.2 days to 36.29 days, while at the subclavian vein insertion site, it ranged from 26.5 days to 46.9 days. for the femoral vein insertion site, the duration ranged from 16.4±12.1 days to 33 days. the results indicated that both the IJV and subclavian vein insertion sites exhibited greater durability compared to the femoral vein. Furthermore, complications associated with the femoral vein insertion site were significantly more common in cases involving temporary hemodialysis catheters. However, additional studies are needed to comprehensively assess the durability of temporary hemodialysis catheters based on insertion site in hemodialysis patients. the authors declare no competing interests, and no funding was provided for this study.