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2013 | 85 | 3 | 133-136

Article title

Comparison of results of placement of cuffed –tunneled hemodialysis catheter in internal jugular vein with subclavian vein for long -term dialysis

Content

Title variants

Languages of publication

EN

Abstracts

EN
Aim of the study was to comparison between internal jugular vs. subclavian vein cuffed tunnel catheter placement for dialysis.Material and methods. Cases who required central venous catheter for dialysis were included in this study. Forty cases were included in this study and divided to two groups. Catheters were placed randomly in internal jugular vein or subclavian. Patients were followed for 6 months. Early and late complications of catheter’s placement were recorded. Analysis was done using Spss ver 13.0 (Chicago, IL, USA).Results. There were no significant differences between subclavian and internal jugular vein regarding occurrence of infection resulted in extraction or treatment. Also there were no significant differences regarding occurrence of thrombosis resulted in extraction or treatment. Failure rate was significantly higher in cases with internal jugular vein catheter compared to cases with subclavian vein catheter (p=0.04).Conclusion. Failure rate was significantly higher in cases with internal jugular vein catheter compared to subclavian cathether. Subclavian catheter is more appropriate route for catheter placement.

Publisher

Year

Volume

85

Issue

3

Pages

133-136

Physical description

Dates

published
1 - 03 - 2013
online
20 - 04 - 2013

Contributors

  • Tehran University of Medical Sciences, Tehran, Iran
author
  • Department of Surgery, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • Sina Hospital, Tehran University of Medical Sciences
author
  • Sina Hospital, Tehran University of Medical Sciences
author
  • Sina Hospital, Tehran University of Medical Sciences
  • Department of Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

References

  • 1. Ruesch S, Walder B, Tramer MR : Complications of central venous catheters: internal jugular versus subclavian access--a systematic review. Crit CareMed 2002; 30(2): 454-60. (PMID: 11889329)
  • 2. Biffi R, Orsi F, Pozzi S et al.: Best choice of central venous insertion site for the prevention of catheter- related complications in adult patients who need cancer therapy: a randomized trial. Ann Oncol 2009; 20(5): 935-40. (PMID: 19179550)[WoS]
  • 3. Karkee DV: Subclavian vein dialysis access catheter- complications are low. Nepal Med Coll J 2010; 12(4): 248-52. (PMID: 21744768)
  • 4. Altaee KH , Theeb OA, Al-Timimi SM et al.: Outcome and survival of temporary hemodialysis catheters: a prospective study from a single center in Iraq. Saudi J Kidney Dis Transpl 2007; 18(3): 370-77. (PMID: 17679748)
  • 5. Bourquia A, Jabrane AJ, Ramdani B, Zaid D: Complications of the subclavian vascular approach for hemodialysis. Ann Med Interne (Paris). 1989; 140(2): 102-05. (PMID: 2662852)
  • 6. Vanherweghem JL: Thrombosis and stenosis of central venous access in hemodialysis. Nephrologie 1994; 15(2): 117-21. (PMID: 8047195)[PubMed]
  • 7. Naroienejad M, Saedi D, Rezvani A: Prevalence of central vein stenosis following catheterization in patients with end-stage renal disease. Saudi JKidney Dis Transpl 2010; 21(5): 975-78. (PMID: 20814149)[PubMed]
  • 8. Cimochowski GE, Worley E, Rutherford WE et al.: Superiority of the internal jugular over the subclavian access for temporary dialysis. Nephron 1990; 54(2): 154-61. (PMID: 2314526)
  • 9. Schillinger F, Schillinger D, Montagnac R, MilcentT: Post catheterisation vein stenosis in haemodialysis: comparative angiographic study of 50 subclavian and 50 internal jugular accesses. NephrolDial Transplant 1991; 6(10): 722-24. (PMID: 1754109)
  • 10. Ponikvar R, Buturović-Ponikvar J: Temporary Hemodialysis Catheters as a Long-term Vascular Access in Chronic Hemodialysis Patients. TherapeuticApheresis and Dialysis 2005; 9(3): 250-53. (PMID: 15967000)[PubMed]
  • 11. Cetinkaya R, Odabas AR , Unlu Y et al.: Using Cuffed and Tunnelled Central Venous Catheters as Permanent Vascular Access for Hemodialysis: A Prospective Study. Renal Failure 2003; 25(3): 431-38. (PMID: 12803506)
  • 12. Di Iorio BR , Mondillo F, Bortone S et al.: Fourteen years of hemodialysis with a central venous catheter: mechanical long-term complications. J Vasc Access 2006; 7(2): 60-65. (PMID: 16868898)

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0023
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