Tunnelled Cuffed Catheters for Hemodialysis, Placed By Nephrologists: Success Rate, Efficacy & Complications
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 6
Abstract
Introduction: A large majority of tunnelled cuffed catheters (TCC) are placed by interventional radiologist using fluoroscopy. As fluoroscopy is not always available to meet the great demand that some hospitals require, modified traditional placement of tunnelled catheter can be done under Ultrasound guidance. Methods: All patients were chronic kidney disease, dialysis dependent [CKD-VD].USG Doppler of bilateral neck veins was done to look for patency of neck veins & location of vein prior to puncture. Post TCC placement X ray chest was done in all. Patient demographics, technical complications, and Catheter flow rates, patency, catheter survival, and catheter related infections, reasons for catheter removal were recorded. Results: Total 131 TCC were placed in 131 CKD (VD) patients. 72 were male and 59 were female. Majority of patients had chronic glomerulonephritis (41.98%) as primary disease followed by Diabetic kidney disease (36.64%) and hypertension (12.21%) respectively. Technical success rate was 98.5%. Patency duration was Longest 585 days & shortest 14 days. Right Internal Jugular vein was preferred (83.2%) site. 80.9% patients had no complications. Catheter related blood stream infections (CRBSI) were observed in 16%. Two patients (1.5%) had blockage of catheter. One patient each had oozing from tract due to extrusion of cuff and right femoral deep vein thrombosis. 35.9% are still ongoing catheters. 32.8% TCC were removed due to maturation of Arteriovenous fistula followed by 10.7% due to CRBSI. Conclusion: In our study, we observed that placement of TCC by Nephrologist, with the help of USG Doppler & post placement X ray chest was a safe procedure.
Authors and Affiliations
Rudramani Swami, Swapnil Jadhav, Kalpana S. Mehta, Gajanan Pilgulwar, Sunil Jawale, Atim Pajai
Keywords
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- EP ID EP532767
- DOI 10.21276/ijmrp.2018.4.6.012
- Views 92
- Downloads 0
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