İsa ÇAM, Samet GENEZ, Erkan ŞENGÜL, Ural KOÇ, Ahmet YALNIZ, Özgür ÇAKIR, Metin ERGÜL, Servan YAŞAR, Ceylan ALTINTAŞ TAŞLIÇAY, Ercüment ÇİTFÇİ

Farklı Vasküler Giriş Yollarında Tünelli Hemodiyaliz Kateterlerinin Değerlendirilmesi

Amaç: Tünelli hemodiyaliz kateterleri için farklı vasküler erişim yollarında açıklık oranlarını ve tıkanma nedenlerini belirlemektir. Yöntem: 14 french tünelli hemodiyaliz kateteri takılan 106 hastanın kayıtları retrospektif olarak analiz edildi (40 sağ internal jugular ven (İJV), 23 sol İJV, 18 sağ femoral ven (FV), 11 sol FV ve 14 transhepatik ven). Kateter açıklık sağkalımı Kaplan-Meier eğrisi kullanılarak gösterildi. Kateter tıkanma ve değişim nedenleri değerlendirildi. Bulgular: Tüm hastalarda toplam 474 kateter değişimi yapıldı (ortalama değişim sayısı: 4,47±1,62). Kateter tıkanma ve değişim nedenleri, kateterle ilişkili enfeksiyon, kateter trombozu, fibrin kılıfı ve kateter malpozisyonu idi. Sağ İJV grubunda ortalama primer ve kümülatif kateter açıklık süresi diğerlerine göre daha yüksekti (p

Anahtar Kelimeler:

Hemodiyaliz, Tünelli kateter, Vasküler erişim, Kateter disfonksiyonu, Kateter sağkalım oranı, Fibrin kılıf

Evaluation of Tunneled Hemodialysis Catheters in Different Vascular Accesses

Objective: To determine the patency rates and reasons for failure using different access routes for tunneled hemodialysis catheters. Methods: The records of patients who underwent insertion of 14 French tunnelled hemodialysis catheters were retrospectively analyzed. Catheter patency survival was demonstrated using Kaplan-Meier survival curve. Catheter failure and exchange reasons were evaluated. Results: One hundred and six patients underwent 474 catheter exchanges (mean/patient 4.47±1.62). Access was via right internal jugular vein (IJV) n=40, left IJV n=23, right femoral vein (FV) n=18, left FV n=11 and transhepatic vein n=14. The causes of catheter failure and exchange were: catheter-associated infection, catheter thrombosis, fibrin sheath and catheter tip malposition. Mean primary and cumulative catheter patency time was higher in the right IJV group (732 and 1337 days, respectively) compared with the others (p

Keywords:

Hemodialysis, Tunneled catheter, Vascular access, Catheter dysfunction, Catheter survival rate, Fibrin sheath,

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