Abstract

Arteriovenous fistula is the most common vascular access for patients requiring hemodialysis, but it is not always possible or practical hence cuffed tunneled dialysis catheter comes into play. The aim of the study was to determine the outcome of cuffed tunneled dialysis catheter used for hemodialysis at a teaching hospital. A descriptive cross-sectional study was conducted between January 2014 and December 2019 on 103 chronic dialysis patients with end-stage renal disease presenting to a tertiary care hospital. Ethical approval was received from the institutional review board (2/(6-11) E2/076/77). Whole sampling was done. Data entry and analysis were done in Microsoft Excel 10. The study included 103 patients with 117 cuffed tunneled dialysis catheters placed for hemodialysis. On assessing the outcome of the catheters, the primary and secondary patency rates of the catheters were 5.85±4.87 and 1.21±3.77 months. Thirty-one (30.1%) patients required one intervention, and 11 (10.68%) catheters required 3 or more interventions to maintain patency. Eighteen (17.48%) patients presented with catheter dysfunction while in 11 (10.68%) cases, the catheter was kinked or malpositioned at the notch. In one patient, procedure was abandoned due to severe bleeding and in 2 (1.94%) patients dialysis catheters could not be negotiated into the right atrium and left in brachiocephalic junction. Cuffed tunneled dialysis catheter is effective for maintenance hemodialysis in patients with the end-stage renal disease if used with proper care during dialysis even in our setup. The results and outcomes of the procedure are at par with standards.

Highlights

  • Arteriovenous fistula is the most common vascular access for patients requiring hemodialysis, but it is not always possible or practical cuffed tunneled dialysis catheter comes into play

  • Even Cuffed Tunneled Dialysis Catheters (CTDC) are being used by one-third of chronic dialysis population to bridge the vascular access until Arteriovenous fistulas (AVF) gets ready or as a permanent route for dialysis

  • This study aims to determine the outcome of cuffed tunneled dialysis catheters used in EndStage Renal Disease (ESRD) patients for long term hemodialysis access at a tertiary University Hospital

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Summary

Introduction

Arteriovenous fistula is the most common vascular access for patients requiring hemodialysis, but it is not always possible or practical cuffed tunneled dialysis catheter comes into play. The aim of the study was to determine the outcome of cuffed tunneled dialysis catheter used for hemodialysis at a teaching hospital. According to Kidney Diseases Outcome and Quality Initiative (KDOQI), native Arteriovenous fistulas (AVF) are the primary choice of vascular access for long term dialysis as they have excellent patency rates and lower complication rates.. Shrestha et al Outcome of Cuffed Tunneled Dialysis Catheters for Hemodialysis Patients at a Tertiary Care Hospital: A Descriptive Cross-sectional Study. This study aims to determine the outcome of cuffed tunneled dialysis catheters used in EndStage Renal Disease (ESRD) patients for long term hemodialysis access at a tertiary University Hospital

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