CHSJ

Curr Health Sci J, vol. 35, no. 2, 2009

Central Vein Catheters Complications at Hemodialysed Patients

[Original paper]

Natalia Istrate(1), E. Mota(2), Daniela Cana-Ruiu(2)


(1) Hemodialysis Center, Emergency University Hospital Craiova;
(2) Nephrology Department, Emergency University Hospital Craiova


Abstract:

Venous catheters are used for patients with chronic renal failure who need urgent haemodialysis (HD), but without available mature access ,and patients on maintenance HD who have lost their permanent access function. The aim of this retrospective clinical study was to determine the incidence of venous catheter complications in chronic HD patients. We analyzed 80 patients, 47 men and 33 women, with median age 49 years, who underwent chronic hemodialysis in Hemodialysis Center Craiova. 80 patients used 100 venous double lumen catheters giving a total experience of 13.749 catheters days. 40 catheters required at start of HD and 60 catheters used during entire timp on HD. 60 catheters was in internal jugular vein, 25 of catheters was in femoral vein and 15 of catheters was in sunclavian vein. Complications in the femoral approach were: infection and removal 40%, catheters thrombosis 30%, bleeding from a punctured femoral artery in 5%, groin hematoma 3,5%, poor flow 3,5%.In the jugular vein approach , infection occurred in 30% patients, thrombosis in 20% patients and accidental withdrawal in 3,36%. Blood- culture-proven sepsis severe enough to require hospitalization occurred in 10 patients(17%), 3 patients development infectious endocarditis and 2 patients died.One misplacement into the carotid artery were noted and another complication was punctured carotid artery with development an arterio-venous fistula.In the subclavian vein approach , catheters disfunction was found in 20% patients, infectious in 33% patients and deep vein thrombosis in 6,66% patients.Central venous catheters are still associated with a high rate of complications and may be a regular access choice only no other option available for haemodialysis.


Keywords: venous catheter, jugular vein, subclavian vein, femoral vein



Corresponding: Dr. Natalia Istrate, Hemodialysis Center, Emergency University Hospital Craiova, email:natali@oltenia.ro


DOI 10.12865/CHSJ.35.02.04 - Download PDF
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