Translumbar vena cava catheterization versus transfemoral vein catheterization in hemodialysis
10.3969/j.issn.1008-794X.2024.06.015
- VernacularTitle:血液透析中经腰腔静脉置管与经股静脉置管比较
- Author:
Wenjin DING
1
;
Cong MA
Author Information
1. 416000 湖南湘西 湘西土家族苗族自治州人民医院介入血管科
- Keywords:
hemodialysis;
central venous catheter;
translumbar vena cava catheterization;
transfemoral vein catheterization;
postoperative complication
- From:
Journal of Interventional Radiology
2024;33(6):659-663
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the surgical success rate and postoperative complications of translumbar vena cava catheterization(TLC)and transfemoral vein catheterization(FVC)in implanting the long-term dialysis catheter.Methods The clinical data of 159 patients who received FVC(FVCgroup)and 29 patients who received TLC(TLC group)for establishing vascular access at the Xiangxi Tujia and Miao Autonomous Prefecture People's Hospital of China between June 2015 and June 2020 were retrospectively analyzed.Using statistical methods,the surgical success rate and the incidence of intraoperative and postoperative complications were compared between the two groups.Results There was no statistically significant difference in the surgical success rate between TLC group and FVC group(97.06％vs.97.85％,P=0.770).The postoperative one-,2-and 3-year cumulative primary dialysis catheter patency rates in the TLC group were 89.75％,81.40％and 30.65％respectively,which in the FVC group were 86.25％,60.9％and 28.21％respectively,the differences between the two groups were not statistically significant(all P＞0.05).No statistically significant differences in the incidences of perioperative,early,and late catheterization-related complications existed between the two groups(all P＞0.05).There was no significant differences in the incidences of mechanical complications between the two groups(all P＞0.05).The incidence of catheter-related infection in the TLC group was lower than that in the FVC group(12.13％vs.32.42％,P＜0.05),and the incidence of thrombus in the TLC group was also lower than that in the FVC group(3.03％vs.17.03％,P＜0.05).Conclusion TLC carries a higher surgical success rate and its incidence of catheter-related infection is remarkably lower than that of FVC.In a clinical center where sufficient surgical conditions are available,TLC may be the optimal option for the patients whose conventional venous access routes have been depleted.(J Intervent Radiol,2024,33:659-663)
