Determinants of Tunneled Hemodialysis Catheter Implantation Time by Ultrasound Guidance: A Single-Center Cross-Sectional Study
Background: We have previously reported that the ultrasound (US)-guided tip positioning is an accurate and safe procedure for placement of retrograde- and antegrade-tunneled hemodialysis catheters (HDCs). However, determinants of tunneled hemodialysis catheter implantation time by using US guidance...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/11/12/3526 |
| _version_ | 1797485999084797952 |
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| author | Désirée Tampe Björn Tampe |
| author_facet | Désirée Tampe Björn Tampe |
| author_sort | Désirée Tampe |
| collection | DOAJ |
| description | Background: We have previously reported that the ultrasound (US)-guided tip positioning is an accurate and safe procedure for placement of retrograde- and antegrade-tunneled hemodialysis catheters (HDCs). However, determinants of tunneled hemodialysis catheter implantation time by using US guidance have not been described yet. Therefore, we here report a comparative analysis to identify determinants of implantation time for retrograde- and antegrade-tunneled HDCs placement by US guidance. Methods: We performed a cross-sectional study to compare implantation time for US-guided tip positioning of retrograde- and antegrade-tunneled HDCs. We included a total number of 47 tunneled HDC insertions, including 23 retrograde tunneled and 24 antegrade-tunneled HDCs in patients requiring placement of an HDC for the temporary or permanent treatment of end-stage kidney disease (ESKD) in a single-center, cross-sectional pilot study. Results: We show that clinical and laboratory parameters did not differ between retrograde- and antegrade-tunneled HDC implantations. There was a tendency for shorter implantation time in antegrade-tunneled HDCs, although not statistically significant. Finally, we identified an independent inverse association between body weight (BW) and platelet counts with HDC implantation time specifically in antegrade-tunneled HDCs. Conclusion: In this study, we identified determinants for tunneled HDC implantation time that might be relevant for patients and interventionists. |
| first_indexed | 2024-03-09T23:26:54Z |
| format | Article |
| id | doaj.art-fea6f4121c5b4c4dba6ebbd9ac0f68e3 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T23:26:54Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-fea6f4121c5b4c4dba6ebbd9ac0f68e32023-11-23T17:17:28ZengMDPI AGJournal of Clinical Medicine2077-03832022-06-011112352610.3390/jcm11123526Determinants of Tunneled Hemodialysis Catheter Implantation Time by Ultrasound Guidance: A Single-Center Cross-Sectional StudyDésirée Tampe0Björn Tampe1Department of Nephrology and Rheumatology, University Medical Center Göttingen, 37075 Göttingen, GermanyDepartment of Nephrology and Rheumatology, University Medical Center Göttingen, 37075 Göttingen, GermanyBackground: We have previously reported that the ultrasound (US)-guided tip positioning is an accurate and safe procedure for placement of retrograde- and antegrade-tunneled hemodialysis catheters (HDCs). However, determinants of tunneled hemodialysis catheter implantation time by using US guidance have not been described yet. Therefore, we here report a comparative analysis to identify determinants of implantation time for retrograde- and antegrade-tunneled HDCs placement by US guidance. Methods: We performed a cross-sectional study to compare implantation time for US-guided tip positioning of retrograde- and antegrade-tunneled HDCs. We included a total number of 47 tunneled HDC insertions, including 23 retrograde tunneled and 24 antegrade-tunneled HDCs in patients requiring placement of an HDC for the temporary or permanent treatment of end-stage kidney disease (ESKD) in a single-center, cross-sectional pilot study. Results: We show that clinical and laboratory parameters did not differ between retrograde- and antegrade-tunneled HDC implantations. There was a tendency for shorter implantation time in antegrade-tunneled HDCs, although not statistically significant. Finally, we identified an independent inverse association between body weight (BW) and platelet counts with HDC implantation time specifically in antegrade-tunneled HDCs. Conclusion: In this study, we identified determinants for tunneled HDC implantation time that might be relevant for patients and interventionists.https://www.mdpi.com/2077-0383/11/12/3526retrograde-tunneled hemodialysis catheterantegrade-tunneled hemodialysis catheterrapid atrial swirl signultrasound-guided tip positioningvascular accessend-stage kidney disease |
| spellingShingle | Désirée Tampe Björn Tampe Determinants of Tunneled Hemodialysis Catheter Implantation Time by Ultrasound Guidance: A Single-Center Cross-Sectional Study Journal of Clinical Medicine retrograde-tunneled hemodialysis catheter antegrade-tunneled hemodialysis catheter rapid atrial swirl sign ultrasound-guided tip positioning vascular access end-stage kidney disease |
| title | Determinants of Tunneled Hemodialysis Catheter Implantation Time by Ultrasound Guidance: A Single-Center Cross-Sectional Study |
| title_full | Determinants of Tunneled Hemodialysis Catheter Implantation Time by Ultrasound Guidance: A Single-Center Cross-Sectional Study |
| title_fullStr | Determinants of Tunneled Hemodialysis Catheter Implantation Time by Ultrasound Guidance: A Single-Center Cross-Sectional Study |
| title_full_unstemmed | Determinants of Tunneled Hemodialysis Catheter Implantation Time by Ultrasound Guidance: A Single-Center Cross-Sectional Study |
| title_short | Determinants of Tunneled Hemodialysis Catheter Implantation Time by Ultrasound Guidance: A Single-Center Cross-Sectional Study |
| title_sort | determinants of tunneled hemodialysis catheter implantation time by ultrasound guidance a single center cross sectional study |
| topic | retrograde-tunneled hemodialysis catheter antegrade-tunneled hemodialysis catheter rapid atrial swirl sign ultrasound-guided tip positioning vascular access end-stage kidney disease |
| url | https://www.mdpi.com/2077-0383/11/12/3526 |
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