DURATION AND FREQUENCY OF CATHETERIZATION IN CENTRAL VEIN STENOSIS: A CASE CONTROL STUDY
Journal Title: INTERNATIONAL JOURNAL OF PURE MEDICAL RESEARCH - Year 2018, Vol 3, Issue 8
Abstract
Introduction: Central vein catheterization (CVC) is a major risk factor for central vein stenosis (CVS). Repetitive contacts of the CVC to the blood vessel wall results in inammation, microthrombi, hyperplasia of the intima, brosis and thus development of CVS. This article reports the correlation of duration and frequency of CVC in patients with CVS. Methods: A matched case control study was conducted in Cipto Mangunkusumo Hospital. Samples were gathered from the medical record from 2013 to 2015. Results: Fifty four out of 717 patients underwent CVC for HD had CVS. 32 patients with CVS included in the study with 128 non-CVS patients included as control. Duration of CVC >6 weeks does not increase the risk of CVS (p= 0.207), whilst the odds ratio of CVS on the frequency of CVC >2 times is 30 times compared to those underwent <2 times (p= <0.001). Conclusion: The frequency of CVC >2 times increased the risk of CVS. Longer duration of CVC for HD did not increase CVS rate.
Authors and Affiliations
Caroline Supit, Raden Suhartono, Aria Kekalih
Keywords
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