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KMID : 0904020070230020181
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Journal of Korean Society for Vascular Surgery
2007 Volume.23 No. 2 p.181 ~ p.186
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Analysis of the Outcome of Tunneled Hemodialysis Catheters in Children according to the Indications for Use
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Lee Eung-Jik
Moon Suk-Bae
Jung Sung-Eun
Lee Seong-Cheol
Ha Jong-Won
Park Kwi-Won
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Abstract
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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.
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KEYWORD
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Hemodialysis, Central venous catheterization, Indwelling catheter
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