Long Term Outcome of Permanent Hemodialysis Catheter in Minia University Hospital

Fathy, Basma; Sharawy, Mohamed; Fatthy, Moataz; Azzam, Aml; Abdelrazeq, Shimaa; Tawfiq, Hisham Mostafa

doi:10.21608/mjmr.2024.263421.1638

Long Term Outcome of Permanent Hemodialysis Catheter in Minia University Hospital

Document Type : Original Article

Authors

¹ Internal Medicine and Nephrology Faculty of Medicine, MINIA University, Egypt

² Internal Medicine Department, Faculty of Medicine, Minia, Egypt

³ Internal Medicine and Nephrology -Faculty of Medicine- Cairo University

⁴ internal medicine department, faculty of medicine, minia university

⁵ Internal Medicine Depatment - Faculty of Medicine -Minia University

⁶ Internal medicine department, faculty of medicine, minya university, Egypt

10.21608/mjmr.2024.263421.1638

Abstract

Background:Tunneled dialysis catheters (TDCs) are commonly employed as a temporary solution for hemodialysis (HD) until permanent arteriovenous (AV) access is established. Nevertheless,certain patients may ultimately require prolonged catheter-based hemodialysis as a result of the absence of alternate options for accessing dialysis.Objective:The objective of this study was to assess the results of TDCs and the potential long-term issues that arise during its usage in our hemodialysis patients.

Patients and methods:This study examines 86 patients who had TDC implantation for hemodialysis at the nephrology and urology Minia University Hospital from September 2021 to September 2022. The study recorded patients' age,gender,catheter implantation location,reasons for catheter removal,and total catheter days while monitoring for the occurrence of problems.Complications have been classified into early and late.

Results:The average age of the patients was 48.8 years, with men comprising 51.2% of the population.The right internal jugular vein was the predominant location for TDC insertion,accounting for 75.6% of cases.Operational TDCs were effectively extracted in over 60.5% of instances once their permanent access had reached maturity. Approximately 34.9% of the patients in the sample had experienced complications.infection has the largest proportion, accounting for 14%.The others experienced complications such as catheter thrombosis, hematoma, and incorrect cannulation. Catheter-related bloodstream infection (CRBSI) occurred in 12 patients (14%).Eight patients (9.3%) experienced mechanical dysfunction that necessitated catheter removal.

No deaths were detected as a result of complications associated to the catheter.

Conclusion: TDCs serve as the optimal interim solution for hemodialysis until a permanent dialysis access is established or a kidney transplant is performed.

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