Preferences help
enabled [disable] Abstract
Number of results
2016 | 63 | 1 | 139-143
Article title

Survival of tunneled hemodialysis catheters after percutaneous placement

Title variants
Languages of publication
Background. Tunneled catheters are becoming increasingly used as a permanent dialysis access. Easy way of insertion and good long-term patency make them competitive to fistulas in some groups of patients. Methods. Late complications and survival of 180 tunneled catheters inserted from June 2010 to December 2013 in 171 unselected hemodialysis patients were analyzed. Results. The cumulative time of observation was 2103.5 patient-months and median observation was 9 months (range of 0.5-45 months). Only 19 out of 180 catheters were removed due to complications (12 for infections, 4 due to malfunction and 3 because of mechanical damage). Majority of catheters were removed electively: 27 after maturation of arterio-venous fistula (AVF), 4 after kidney transplant, 5 after transfer to peritoneal dialysis and 3 due to the recovery of renal function. At the end of the observation, 58 catheters were still in use and 64 patients had died with functioning catheter. When censored for elective catheter removal and patient death, 88.2% of catheters survived for 1 year. Catheter survival was significantly better in older patients (over 65 years, in comparison to patients < 65 years, p = 0.046). Conclusions. Nearly 90% of all inserted catheters gave reliable dialysis access as long as it was needed. Among them, over 30% of the inserted catheters were in use at the end of the observation period, and over 30% of patients had died with a functioning catheter. The results of tunneled catheters survival are encouraging and they should be taken into consideration during decision-making on vascular access, especially in the older patients.
Physical description
  • Department of Nephrology, Transplantation and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland
  • Department of Nephrology, Transplantation and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland
  • Department of Occupational and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland
  • Department of Radiology Informatics and Statistics, Medical University of Gdańsk, Gdańsk, Poland
  • Department of Nephrology, Transplantation and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland
  • Camins BC (2013) Prevention and treatment of hemodialysis-related bloodstream infections. Semin Dial 26: 476-481.
  • Campos RP, do Nascimento MM, Chula DC, Riella MC (2011) Minocycline-EDTA lock solution prevents catheter-related bacteremia in hemodialysis. J Am Soc Nephrol 22: 1939-1945.
  • Canaud B, Leray-Moragues H, Garrigues V, Mion C (1998) Permanent twin catheter: a vascular access option of choice for hemodialysis in elderly patients. Nephrol Dial Transplant 13 (Suppl 7): 82-88.
  • Claudeanos KT, Hudgins J, Keahey G, Cull DL, Carsten CG (2015) Fistulas in octogenarians: are they beneficial? Ann Vasc Surg 29: 98-102.
  • Drew DA, Lok CE, Cohen JT, Wagner M, Tangri N, Weiner DE (2014) Vascular access choice in incident hemodialysis patients: a decision analysis. J Am Soc Nephrol 26: 183-191.
  • Ervo S, Cavatorta F, Zollo A (2001) Implantation of permanent jugular catheters in patients on regular dialysis treatment: ten years' experience. J Vasc Access 2: 68-72.
  • Ewing F, Patel D, Petherick A, Winney R, McBride K (2002) Radiological placement of the Ash Split hemodialysis catheter: a prospective analysis of outcome and complications. Nephrol Dial Transplant 17(4): 614-619.
  • Hernández-Jaras J, García-Pérez H, Torregrosa E, Pons R, Calvo C, Serra M, Orts M, Ríus A, Camacho G, Bernat A, Sánchez-Canel JJ (2004) Outcome of tunneled hemodialysis catheters as permanent vascular access. Nefrologia 24: 446-452.
  • Kramer A, Stel V, Zoccali C, Heaf J, Ansell D, Grönhagen-Riska C, Leivestad T, Simpson K, Pálsson R, Postorino M, Jager K (2009) An update on renal replacement therapy in Europe: ERA-EDTA Registry data from 1997 to 2006. Nephrol Dial Transplant 24: 3557-3566.
  • Labriola L, Crott R, Jadoul M (2008) Preventing haemodialysis catheter-related bacteraemia with an antimicrobial lock solution: a meta-analysis of prospective randomized trials. Nephrol Dial Transplant 23: 1666-1672.
  • Lazarides MK, Georgiadis GS, Antoniou GA, Staramos DN (2007) A meta-analysis of dialysis access outcome in elderly patients. J Vasc Surg 45: 420-426.
  • Little MA, O'Riordan A, Lucey B, Farrell M, Lee M, Conlon PJ, Walshe JJ (2001) A prospective study of complications associated with cuffed, tunneled hemodialysis catheters. Nephrol Dial Transplant 16: 2194-2200.
  • Lok CE, Allon M, Moist L, Oliver MJ, Shah H, Zimmerman D (2006) Risk equation determining unsuccessful cannulation events and failure to maturation in arteriovenous fistulas (REDUCE FTM I). J Am Soc Nephrol 17: 3204-3212.
  • Lok CE (2007) Fistula first initiative: advantages and pitfalls. Clin J Am Soc Nephrol 2: 1043-1053.
  • Mandolfo S, Acconcia P, Bucci R, Corradi B, Farina M, Rizzo MA, Stucchi A (2014) Hemodialysis tunneled central venous catheters: five-year outcome analysis. J Vasc Access 15: 461-465.
  • Murea M, James KM, Russell GB, Byrum GV, Yates JE, Tuttle NS, Bleyer AJ, Burkart JM, Freedman BI (2014) Risk of catheter-related bloodstream infection in elderly patients on hemodialysis. Clin J Am Soc Nephrol 9: 764-770.
  • Noordzij M, Jager KJ, van der Veer SN, Kramar R, Collart F, Heaf JG, Stojceva-Taneva O, Leivestad T, Buturovic-Ponikvar J, Benítez Sánchez M, Moreso F, Prütz KG, Severn A, Wanner Ch, Vanholder R, Ravani P (2014) Use of vascular access for hemodialysis in Europe: a report from the ERA-EDTA Registry. Nephrol Dial Transplant 29: 1956-1964.
  • Polkinghorne KR, Chin GK, MacGinley RJ, Owen AR, Russell Ch, Talaulikar GS, Vale E, Lopez-Vargas PA (2013) KHA-CARI Guideline: Vascular access - central venous catheters, arteriovenous fistulae and arteriovenous grafts. Nephrology 18: 701-705.
  • Rayner HC, Besarab A, Brown WW, Disney A, Saito A, Pisoni RL (2004) Vascular access results from the dialysis outcomes and practice patterns study (DOPPS): performance against kidney disease outcomes quality initiative (K/DOQI) clinical practice guidelines. Am J Kidney Dis 44 (5 Suppl 2): 22-26.
  • Sampathkumar K, Ramakrishnan M, Sah AK, Sooraj Y, Mahaldhar A, Ajeshkumar R (2011) Tunneled central venous catheters: Experience from a single center. Indian J Nephrol 21: 107-111
  • Shingarev R, Barker-Finkel J, Allon M (2013) Natural history of tunneled dialysis catheters placed for hemodialysis initiation. J Vasc Interv Radiol 24: 1289-1294.
  • Tan M, Lau J, Guglielmo BJ (2014) Ethanol locks in the prevention and treatment of catheter-related bloodstream infections. Ann Pharmacother 48: 607-615.
  • Tordoir J, Canaud B, Haage P (2007) EBPG on Vascular Access. Nephrol Dial Transplant 22 (Suppl 2): ii88-117.
  • Vascular Access Work Group (2006) Clinical practice guidelines for vascular access. Am J Kidney Dis 48 (Suppl 1): S248-S273.
  • Weijmer MC, van den Dorpel MA, Van de Ven PJ, ter Wee PM, van Geelen JACA, Groeneveld JO, van Jaarsveld BC, Koopmans MG, le Poole CY, Schrander-Van der Meer AM, Siegert CEH, Stas KJF, CITRATE Study Group (2005) Randomized, clinical trial comparison of trisodium citrate 30% and heparin as catheter-locking solution in hemodialysis patients. J Am Soc Nephrol 16: 2769-2777.
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.