Analysis of the Outcome of Tunneled Hemodialysis Catheters in Children according to the Indications for Use
Journal of the Korean Society for Vascular Surgery
;
: 181-186, 2007.
Article
in Korean
| WPRIM
| ID: wpr-150428
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Catheterization, Central Venous
/
Catheters, Indwelling
/
Renal Dialysis
/
Stem Cell Transplantation
/
Joint Dislocations
/
Catheters
Limits:
Child
/
Humans
Language:
Korean
Journal:
Journal of the Korean Society for Vascular Surgery
Year:
2007
Type:
Article
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