Please use this identifier to cite or link to this item: http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/3435
Title: Mid-term results of tunneled brachial venous hemodialysis catheter placement: Our single-center experience with 21 patients
Authors: Khalil, Emced
Ordu Üniversitesi
Keywords: ARTERIOVENOUS-FISTULA; VASCULAR ACCESS; MATURATION; OUTCOMES
Brachial vein; catheter; hemodialysis; tunneled
Issue Date: 2021
Publisher: BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK ATASEHIR
Citation: Khalil, E. (2021). Mid-term results of tunneled brachial venous hemodialysis catheter placement: Our single-center experience with 21 patients. Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery, 29(1), 13-19.Doi:10.5606/tgkdc.dergisi.2021.20398
Abstract: Background: This study aims to analyze the safety and efficacy of permanent hemodialysis catheter insertion via the brachial vein in unsuitable patients for catheter insertion from other vascular access sites. Methods: A total of 21 patients (6 males, 18 females; mean age: 54.4 +/- 11.3 years; range, 48 to 77 years) who underwent permanent hemodialysis catheter insertion via the brachial vein between February 2019 and February 2020 were retrospectively analyzed. All patients underwent brachial venous tunneled catheter insertion under the ultrasound guidance and under local anesthesia. Transthoracic echocardiography was performed before and six months after catheter insertion. The primary patency rate of the catheter at six months of follow-up, potential associated complications of a permanent hemodialysis catheter including catheter thrombosis and catheter infections, and all-cause mortality rates were recorded. Results: Catheter removal was required in eight patients (catheter thrombosis, n=5; catheter infection, n=2; and extensive hematoma, n=1). The catheters were patent in the remaining 13 (62%) patients at six months. Mortality occurred in one patient due to bacterial pneumonia. No life-threatening complications including hemothorax or pneumothorax and neurological injury was observed in any of the patients. Conclusion: Our study results show that brachial venous tunneled catheter placement for hemodialysis can be a safe and valid alternative to catheter insertion from the jugular or subclavian veins for vascular access in patients with end-stage renal disease.
Description: WoS Categories : Surgery Web of Science Index : Science Citation Index Expanded (SCI-EXPANDED) Research Areas : Surgery Open Access Designations : Green Published, Bronze
URI: http://dx.doi.org/10.5606/tgkdc.dergisi.2021.20398
https://www.webofscience.com/wos/woscc/full-record/WOS:000612350500003
https://pubmed.ncbi.nlm.nih.gov/33768976
http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/3435
ISBN: 1301-5680
Appears in Collections:Cerrahi Tıp Bilimleri

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.