Affordable Access

Publisher Website

Tunneled central venous catheters: Experience from a single center

Authors
Journal
Indian Journal of Nephrology
0971-4065
Publisher
Medknow Publications
Publication Date
Volume
21
Issue
2
Identifiers
DOI: 10.4103/0971-4065.82133
Keywords
  • Original Article
Disciplines
  • Medicine

Abstract

In the past vascular surgeons were called in to place tunneled central venous catheter (TVC) for hemodialysis patients. Advent of percutaneous technique has resulted in an increasing number of interventional nephrologists inserting it. A single centre three year audit of 100 TVCs with a cumulative follow up of 492 patient months is presented here. From 2007 to 2010, 100 TVCs were placed by nephrologists in a percutaneous fashion in the operative room or the interventional nephrology suite. Those who completed minimum of three months on the catheter were included in analysis. There were 69 males and 31 females with a mean age of 52.3±13.6 years.(range: 25-76). Chronic glomerulonephritis was the commonest cause of CKD (45%) followed by diabetes (39%).Right internal jugular vein was the preferred site (94%). TVC was utilized as the primary access to initiate dialysis in 25% of patients in whom a live donor was available for renal transplant. The blood flow was 250-270 ml/min. The Kaplan-Meier analysis showed that 3 months and 6 months catheter survival rates were 80% and 55%, respectively. The main complications were exit site blood ooze, catheter block and kink. Catheter related bacteremia rate was low at 0.4/1000 patient days. Primary cause of drop out was patient death unrelated to the TVCs. Those under the age of 40 years showed better survival, but there was no bearing of gender, catheter site, and etiology of CKD on survival. Tunneled central venous catheters could find a niche as the primary access of choice for pretransplant live donor renal transplants in view of its immediate usage, high blood flows, low infection rates and adequate patency rates for 3-6 months.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Single-incision technique for placing femoral tunn...

on Journal of Vascular and Interv... May 2013

Tunneled central venous catheters for dialysis – A...

on Indian Journal of Nephrology Jan 01, 2011

Conversion of Indwelling Chest Port Catheters to T...

on Journal of Vascular and Interv... Jan 01, 2000
More articles like this..