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Prevalence and Predictors of Tunneled Dialysis Catheter Dysfunction.
Rozenberg, Ilan; Benchetrit, Sydney; Zitman-Gal, Tali; Ajaj, Moanis; Shehab, Maysam; Nacasch, Naomi; Cohen-Hagai, Keren.
Afiliación
  • Rozenberg I; Department of Nephrology and Hypertension, Meir Medical Center, Kfar Saba, Israel.
  • Benchetrit S; Department of Nephrology and Hypertension, Meir Medical Center, Kfar Saba, Israel, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
  • Zitman-Gal T; Department of Nephrology and Hypertension, Meir Medical Center, Kfar Saba, Israel, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
  • Ajaj M; Department of Vascular Surgery, Meir Medical Center, Kfar Saba, Israel.
  • Shehab M; epartment of Vascular Surgery, Meir Medical Center, Kfar Saba, Israel, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
  • Nacasch N; Department of Nephrology and Hypertension, Meir Medical Center, Kfar Saba, Israel, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
  • Cohen-Hagai K; Department of Nephrology and Hypertension, Meir Medical Center, Kfar Saba, Israel, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Isr Med Assoc J ; 26(8): 508-513, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39254412
ABSTRACT

BACKGROUND:

Hemodialysis requires reliable, recurrent access to the circulatory system. Central venous tunneled dialysis catheters (TDC) are frequently used for patients receiving hemodialysis as a bridge to permanent vascular access or as a final option. TDC are prone to complications such as infection and dysfunction.

OBJECTIVES:

To assess the prevalence and predictors of TDC dysfunction in a cohort of chronic hemodialysis patients.

METHODS:

This single-center, retrospective study was based on data from an electronic database of chronic hemodialysis patients during 5 years of follow-up.

RESULTS:

A total of 625 TDC were inserted in 361 patients, of which 234 (37.4%) were replaced due to dysfunction. The main insertion site was the right internal jugular vein. Diabetes mellitus was an important predictor of TDC dysfunction and was significantly correlated with TDC extraction. Chronic anticoagulation and antiplatelet treatment did not affect the rate of TDC dysfunction or replacement.

CONCLUSIONS:

TDC use for chronic dialysis patients is increasing and dysfunction is a major problem. In our study, we highlighted the high prevalence of TDC dysfunction and the need for further research to improve hemodialysis access as well as TDC patency and function.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Venoso Central / Catéteres de Permanencia / Diálisis Renal Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Isr Med Assoc J Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Israel
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Venoso Central / Catéteres de Permanencia / Diálisis Renal Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Isr Med Assoc J Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Israel