Analysis of the Outcome of Tunneled Hemodialysis Catheters in Children according to the Indications for Use.
- Author:
Eung Jik LEE
1
;
Suk Bae MOON
;
Sung Eun JUNG
;
Seong Cheol LEE
;
Jongwon HA
;
Kwi Won PARK
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. sejung@plaza.snu.ac.kr
- Publication Type:Original Article
- Keywords:
Hemodialysis;
Central venous catheterization;
Indwelling catheter
- MeSH:
Catheterization, Central Venous;
Catheters*;
Catheters, Indwelling;
Child*;
Dislocations;
Humans;
Renal Dialysis*;
Stem Cell Transplantation
- From:Journal of the Korean Society for Vascular Surgery
2007;23(2):181-186
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The tunneled hemodialysis catheter has been widely used for a temporary or an alternative permanent vascular access in patients requiring hemodialysis. The tunneled hemodialysis catheter is also widely used for a reliable vascular access in children who need stem cell transplantation. METHOD: We reviewed the results of 150 catheters inserted in 108 patients for the duration of the indwelling catheter, the complication rate and the reasons for insertion and removal. RESULT: The mean duration of the indwelling catheter was 5.7 months (1 d~52.2 mo). In the stem cell transplantation group, the mean duration of the indwelling catheter was significantly longer than for the hemodialysis group (mean: 9.9 mo vs. 3.6 mo, P<0.05). Fifty-one catheters (39.8%) were removed due to complications. The most common complications were infection (n=23: 17.9%) and dislocation (n=15: 11.7%). In the hemodialysis group, the complication-related catheter removal was more frequent than in the stem cell transplantation group (43.9% vs. 32.6%, P<0.05). CONCLUSION: The tunneled hemodialysis catheter remains a reliable short-term vascular access for hemodialysis and a good vascular access in stem cell transplantation.
