A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unit
Hemodialysis (HD) catheters are commonly used as temporary vascular access in patients with kidney failure who require immediate HD. The use of these catheters is limited by complications such as infections, thrombosis resulting in poor blood flow. We studied the complications and outcomes of nontun...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-01-01
|
| Series: | Saudi Journal of Kidney Diseases and Transplantation |
| Online Access: | http://www.sjkdt.org/article.asp?issn=1319-2442;year=2016;volume=27;issue=3;spage=569;epage=575;aulast=Amira |
| _version_ | 1819053238051143680 |
|---|---|
| author | Christiana Oluwatoyin Amira Babawale Taslim Bello Rotimi Williams Braimoh |
| author_facet | Christiana Oluwatoyin Amira Babawale Taslim Bello Rotimi Williams Braimoh |
| author_sort | Christiana Oluwatoyin Amira |
| collection | DOAJ |
| description | Hemodialysis (HD) catheters are commonly used as temporary vascular access in patients with kidney failure who require immediate HD. The use of these catheters is limited by complications such as infections, thrombosis resulting in poor blood flow. We studied the complications and outcomes of nontunneled catheters used for vascular access in our dialysis unit. The records of all patients, with renal failure who were dialyzed over a two-year period and had a double lumen nontunneled catheter inserted, were retrieved. Catheter insertion was carried out under ultrasound guidance using the modified Seldinger technique. The demographic data of patients, etiology of chronic kidney disease, and complications and outcomes of these catheters were noted. Fifty-four patients with mean age 43.7 ± 15.8 years had 69 catheters inserted for a cumulative total of 4047 catheter-days. The mean catheter patency was 36.4 ± 37.2 days (range: 1-173 days). Thrombosis occluding the catheters was the most common complication and occurred in 58% of catheters leading to catheter malfunction, followed by infections in18.8% of catheters. During follow-up, 30 (43.5%) catheters were removed, 14 (20.3%) due to catheter malfunction, eight (11.6%) due to infection, five (7.2%) elective removal, and three (4.3%) due to damage. Thrombotic occlusion of catheters was a major limiting factor to the survival of HD catheters. Improvement in catheter patency can be achieved with more potent lock solutions. |
| first_indexed | 2024-12-21T12:32:33Z |
| format | Article |
| id | doaj.art-7d3ef92549354f21bb2067d1a29255b4 |
| institution | Directory Open Access Journal |
| issn | 1319-2442 |
| language | English |
| last_indexed | 2024-12-21T12:32:33Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Kidney Diseases and Transplantation |
| spelling | doaj.art-7d3ef92549354f21bb2067d1a29255b42022-12-21T19:04:00ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422016-01-0127356957510.4103/1319-2442.182401A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unitChristiana Oluwatoyin AmiraBabawale Taslim BelloRotimi Williams BraimohHemodialysis (HD) catheters are commonly used as temporary vascular access in patients with kidney failure who require immediate HD. The use of these catheters is limited by complications such as infections, thrombosis resulting in poor blood flow. We studied the complications and outcomes of nontunneled catheters used for vascular access in our dialysis unit. The records of all patients, with renal failure who were dialyzed over a two-year period and had a double lumen nontunneled catheter inserted, were retrieved. Catheter insertion was carried out under ultrasound guidance using the modified Seldinger technique. The demographic data of patients, etiology of chronic kidney disease, and complications and outcomes of these catheters were noted. Fifty-four patients with mean age 43.7 ± 15.8 years had 69 catheters inserted for a cumulative total of 4047 catheter-days. The mean catheter patency was 36.4 ± 37.2 days (range: 1-173 days). Thrombosis occluding the catheters was the most common complication and occurred in 58% of catheters leading to catheter malfunction, followed by infections in18.8% of catheters. During follow-up, 30 (43.5%) catheters were removed, 14 (20.3%) due to catheter malfunction, eight (11.6%) due to infection, five (7.2%) elective removal, and three (4.3%) due to damage. Thrombotic occlusion of catheters was a major limiting factor to the survival of HD catheters. Improvement in catheter patency can be achieved with more potent lock solutions.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2016;volume=27;issue=3;spage=569;epage=575;aulast=Amira |
| spellingShingle | Christiana Oluwatoyin Amira Babawale Taslim Bello Rotimi Williams Braimoh A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unit Saudi Journal of Kidney Diseases and Transplantation |
| title | A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unit |
| title_full | A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unit |
| title_fullStr | A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unit |
| title_full_unstemmed | A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unit |
| title_short | A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unit |
| title_sort | study of outcome and complications associated with temporary hemodialysis catheters in a nigerian dialysis unit |
| url | http://www.sjkdt.org/article.asp?issn=1319-2442;year=2016;volume=27;issue=3;spage=569;epage=575;aulast=Amira |
| work_keys_str_mv | AT christianaoluwatoyinamira astudyofoutcomeandcomplicationsassociatedwithtemporaryhemodialysiscathetersinanigeriandialysisunit AT babawaletaslimbello astudyofoutcomeandcomplicationsassociatedwithtemporaryhemodialysiscathetersinanigeriandialysisunit AT rotimiwilliamsbraimoh astudyofoutcomeandcomplicationsassociatedwithtemporaryhemodialysiscathetersinanigeriandialysisunit AT christianaoluwatoyinamira studyofoutcomeandcomplicationsassociatedwithtemporaryhemodialysiscathetersinanigeriandialysisunit AT babawaletaslimbello studyofoutcomeandcomplicationsassociatedwithtemporaryhemodialysiscathetersinanigeriandialysisunit AT rotimiwilliamsbraimoh studyofoutcomeandcomplicationsassociatedwithtemporaryhemodialysiscathetersinanigeriandialysisunit |