May position of hemodialysis catheter tip have a direct effect on its patency? Positive results of a preliminary study on its rotation

Renal transplant therapy is essential in patients with End-Stage Renal Disease (ESRD). It is used in patients awaiting a kidney transplant or those who cannot be a transplant candidate. Central venous catheter is one of the most used access routes worldwide but has been recorded as the one with hig...

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Main Authors: Mohammad Hassani, Mahdi Mohebbi, Mehdi Tavallaei, Seyed Mohammad Reza Hosseini Nodoushan, Moein Mirzade, Rana Hashemi
Format: Article
Language:English
Published: PAGEPress Publications 2022-05-01
Series:European Journal of Translational Myology
Subjects:
Online Access:https://www.pagepressjournals.org/index.php/bam/article/view/10537
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author Mohammad Hassani
Mahdi Mohebbi
Mehdi Tavallaei
Seyed Mohammad Reza Hosseini Nodoushan
Moein Mirzade
Rana Hashemi
author_facet Mohammad Hassani
Mahdi Mohebbi
Mehdi Tavallaei
Seyed Mohammad Reza Hosseini Nodoushan
Moein Mirzade
Rana Hashemi
author_sort Mohammad Hassani
collection DOAJ
description Renal transplant therapy is essential in patients with End-Stage Renal Disease (ESRD). It is used in patients awaiting a kidney transplant or those who cannot be a transplant candidate. Central venous catheter is one of the most used access routes worldwide but has been recorded as the one with highest mortality and morbidity rate. Thromboembolic events have played a major part for that. This is a descriptive-analytical study, which conducted in a university treatment center in Tehran, Iran. A total of 225 patients were selected for this study that 108 were excluded because of our criteria. Statistical analysis was performed by SPSS v19 and a total of 117 patients were included in this study. The average age of the patients was 51.62±11.26. 79 (67.5%) and 38 (32.5%) patients had medial and lateral tip direction, respectively. The catheter of 85(72.6%) and 32(27.4%) patients was patent and occluded, respectively. The average catheter tip occlusion time in both groups was 22.5 and 7.5 months. Three-month, six-month, twelve-month, and twenty-four-month patency rate were 99%, 94%, 88%, and 30%, respectively. our findings suggest that medial direction of the tip of the catheter reduces complications caused in CVS. Because our study has been conducted in a small scale and there is lack of similar studies, our team suggests extension to a larger scale to confirm or not our results.
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spelling doaj.art-5812d6b4a79042728dd43323f40093592022-12-22T03:25:49ZengPAGEPress PublicationsEuropean Journal of Translational Myology2037-74522037-74602022-05-0110.4081/ejtm.2022.10537May position of hemodialysis catheter tip have a direct effect on its patency? Positive results of a preliminary study on its rotationMohammad Hassani0Mahdi Mohebbi1Mehdi Tavallaei2Seyed Mohammad Reza Hosseini Nodoushan3Moein Mirzade4Rana Hashemi5Department of General Surgery, School of Medicine, Ayatollah Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, TehranDepartment of General Surgery, School of Medicine, Ayatollah Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, TehranDepartment of General Surgery, Alborz University of Medical Sciences, KarajDepartment of Vascular and Endovascular Surgery, Ayatollah Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, TehranDepartment of General Surgery, School of Medicine, Ayatollah Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, TehranSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran Renal transplant therapy is essential in patients with End-Stage Renal Disease (ESRD). It is used in patients awaiting a kidney transplant or those who cannot be a transplant candidate. Central venous catheter is one of the most used access routes worldwide but has been recorded as the one with highest mortality and morbidity rate. Thromboembolic events have played a major part for that. This is a descriptive-analytical study, which conducted in a university treatment center in Tehran, Iran. A total of 225 patients were selected for this study that 108 were excluded because of our criteria. Statistical analysis was performed by SPSS v19 and a total of 117 patients were included in this study. The average age of the patients was 51.62±11.26. 79 (67.5%) and 38 (32.5%) patients had medial and lateral tip direction, respectively. The catheter of 85(72.6%) and 32(27.4%) patients was patent and occluded, respectively. The average catheter tip occlusion time in both groups was 22.5 and 7.5 months. Three-month, six-month, twelve-month, and twenty-four-month patency rate were 99%, 94%, 88%, and 30%, respectively. our findings suggest that medial direction of the tip of the catheter reduces complications caused in CVS. Because our study has been conducted in a small scale and there is lack of similar studies, our team suggests extension to a larger scale to confirm or not our results. https://www.pagepressjournals.org/index.php/bam/article/view/10537End-stage renal diseaserenal replacement therapysurgeryhemodialysis
spellingShingle Mohammad Hassani
Mahdi Mohebbi
Mehdi Tavallaei
Seyed Mohammad Reza Hosseini Nodoushan
Moein Mirzade
Rana Hashemi
May position of hemodialysis catheter tip have a direct effect on its patency? Positive results of a preliminary study on its rotation
European Journal of Translational Myology
End-stage renal disease
renal replacement therapy
surgery
hemodialysis
title May position of hemodialysis catheter tip have a direct effect on its patency? Positive results of a preliminary study on its rotation
title_full May position of hemodialysis catheter tip have a direct effect on its patency? Positive results of a preliminary study on its rotation
title_fullStr May position of hemodialysis catheter tip have a direct effect on its patency? Positive results of a preliminary study on its rotation
title_full_unstemmed May position of hemodialysis catheter tip have a direct effect on its patency? Positive results of a preliminary study on its rotation
title_short May position of hemodialysis catheter tip have a direct effect on its patency? Positive results of a preliminary study on its rotation
title_sort may position of hemodialysis catheter tip have a direct effect on its patency positive results of a preliminary study on its rotation
topic End-stage renal disease
renal replacement therapy
surgery
hemodialysis
url https://www.pagepressjournals.org/index.php/bam/article/view/10537
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