scholarly journals Quantification of Lipoteichoic Acid in Hemodialysis Patients With Central Venous Catheters

2018 ◽  
Vol 5 ◽  
Author(s):  
Amy Barton Pai ◽  
Adinoyi Garba ◽  
Paul Neumann ◽  
Alexander J. Prokopienko ◽  
Gabrielle Costello ◽  
...  
Keyword(s):  
Lipoteichoic Acid ◽  
Hemodialysis Patients ◽  
Central Venous Catheters ◽  
Central Venous

Vascular Access Placement Order and Outcomes in Hemodialysis Patients: A Longitudinal Study

2017 ◽  
Vol 46 (4) ◽  
pp. 268-275 ◽  
Author(s):  
Mariana Murea ◽  
W. Mark Brown ◽  
Jasmin Divers ◽  
Shahriar Moossavi ◽  
Todd W. Robinson ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Vascular Access ◽  
Conversion Rate ◽  
Hemodialysis Patients ◽  
Central Venous Catheters ◽  
Failure Rates ◽  
Transition Rates ◽  
Central Venous ◽  
Av Fistulas

Background: Arteriovenous accesses (AVA) in patients performing hemodialysis (HD) are labeled “permanent” for AV fistulas (AVF) or grafts (AVG) and “temporary” for tunneled central venous catheters (TCVC). Durability and outcomes of permanent vascular accesses based on the sequence in which they were placed or used receives little attention. This study analyzed longitudinal transitions between TCVC-based and AVA-based HD outcomes according to the order of placement. Methods: All 391 patients initiating chronic HD via a TCVC between 2012 and 2013 at 12 outpatient academic dialysis units were included in this study. Chronological distributions of HD vascular accesses were recorded over a mean (SD) of 2.8 (0.9) years and sequentially grouped into periods for TCVC-delivered and AVA-delivered (AVF or AVG) HD. Primary AVA failure and cumulative access survival were evaluated based on access placement sequence and type, adjusting for age. Results: In total, 92.3% (361/391) of patients underwent 497 AVA placement surgeries. Analyzing the initial 3 surgeries, primary AVF failure rates increased with each successive fistula placement (p = 0.008). Among the 82.9% (324/391) of TCVC patients successfully converted to an AVA, 30.9% returned to a TCVC, followed by a 58.0% conversion rate to another AVA. Annual per-patient vascular access transition rates were 2.02 (0.09) HD periods using a TCVC and 0.54 (0.03) HD periods using an AVA. Comparing the first AVA used with the second, cumulative access survivals were 701.0 (370.0) vs. 426.5 (275.0) days, respectively. Excluding those never converting to an AVF or AVG, 169 (52.2%) subsequently converted from a TCVC to a permanent access and received HD via AVA for ≥80% of treatments. Conclusions: HD vascular access outcomes differ based on the sequence of placement. In spite of frequent AVA placements, only half of patients effectively achieved a “permanent” vascular access and used an AVA for the majority of HD treatments.

scholarly journals SP619INFECTIONS OF CENTRAL VENOUS CATHETERS IN HEMODIALYSIS PATIENTS: RESISTANCE TO THE USUAL EMPIRIC ANTIBIOTIC TREATMENT. A SINGLE CENTRE SEVEN YEARS EXPERIENCE

2015 ◽  
Vol 30 (suppl_3) ◽  
pp. iii582-iii582
Author(s):  
Nicoletta-Maria Kouri ◽  
Christos Bantis ◽  
Gerasimos Bamichas ◽  
Maria Stangou ◽  
Ellada Tsandekidou ◽  
...  
Keyword(s):  
Antibiotic Treatment ◽  
Hemodialysis Patients ◽  
Central Venous Catheters ◽  
Single Centre ◽  
Central Venous ◽  
Empiric Antibiotic ◽  
Empiric Antibiotic Treatment

scholarly journals Vascular access for hemodialysis: Current practice in Vietnam

2018 ◽  
Vol 20 (1_suppl) ◽  
pp. 20-23 ◽  
Author(s):  
Long Duc Dinh ◽  
Dung Huu Nguyen
Keyword(s):  
Arteriovenous Fistula ◽  
Vascular Access ◽  
Venous Catheter ◽  
Hemodialysis Patients ◽  
Transluminal Angioplasty ◽  
Central Venous Catheters ◽  
Chronic Hemodialysis ◽  
Maintenance Hemodialysis ◽  
Central Venous ◽  
Advanced Country

A well-functioning vascular access is a mainstay to perform an efficient hemodialysis procedure, which directly affects the quality of life in hemodialysis patients. We use three main types of access: native arteriovenous fistula, arteriovenous graft, and central venous catheter. Arteriovenous fistula remains the first and best choice for chronic hemodialysis. It is the best access for longevity, the lowest related complications, and for this reason, arteriovenous fistula use is strongly recommended by guidelines from different countries, including Vietnam. In practice, well-functioning arteriovenous fistula creation is not always simple. In this case, arteriovenous fistula creation with vein transposition or translocation is certainly useful. When native vein options have been exhausted, prosthetic can be used as the second option of maintenance hemodialysis access alternatives. Central venous catheters are very common and have become an important adjunct in maintaining patients on hemodialysis. In Bach Mai hospital, we certainly create about 1000 new arteriovenous fistulas every year (among these, about 84.98% new hemodialysis patients start hemodialysis without permanent accesses and depend on temporary central venous catheters) and successfully matured arteriovenous fistula rate is 92.6%. Among hemodialysis population in Bach Mai, 2.29% have arteriovenous grafts and 2.81% of patients still depend on cuffed tunneled catheters. The preferable locations for catheter insertions are the internal jugular and femoral veins. Proper vascular access maintenance requires integration of different professionals to create a vascular access team. Percutaneous transluminal angioplasty is not available. In our circumstance, we have achieved some advantages for hemodialysis patients but still a big gap to an advanced country.

scholarly journals Impact of Different Catheter Lock Strategies on Bacterial Colonization of Permanent Central Venous Hemodialysis Catheters

2013 ◽  
Vol 34 (12) ◽  
pp. 1314-1317 ◽  
Author(s):  
Stefan Erb ◽  
Andreas F. Widmer ◽  
Sarah Tschudin-Sutter ◽  
Ursula Neff ◽  
Manuela Fischer ◽  
...  
Keyword(s):  
Sodium Chloride ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Bacterial Colonization ◽  
Hemodialysis Patients ◽  
Central Venous Catheters ◽  
Catheter Colonization ◽  
Central Venous ◽  
Lock Solution ◽  
Catheter Lock

Thirty-nine hemodialysis patients with permanent central venous catheters were analyzed for bacterial catheter colonization comparing different catheter-lock strategies. The closed needleless Tego connector with sodium chloride lock solution was significantly more frequently colonized with bacteria than the standard catheter caps with antimicrobially active citrate lock solution (odds ratio, 0.22 [95% confidence interval, 0.07–0.71]; P = .011).

Central Venous Stenosis Among Hemodialysis Patients is Often Not Associated With Previous Central Venous Catheters

ASAIO Journal ◽  
2011 ◽  
Vol 57 (5) ◽  
pp. 439-443 ◽  
Author(s):  
Atsushi Kotoda ◽  
Tetsu Akimoto ◽  
Maki Kato ◽  
Hidenori Kanazawa ◽  
Manabu Nakata ◽  
...  
Keyword(s):  
Hemodialysis Patients ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Central Venous Stenosis ◽  
Venous Stenosis

scholarly journals The best solution down the line: an observational study on taurolidine- versus citrate-based lock solutions for central venous catheters in hemodialysis patients

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Sonja van Roeden ◽  
Mathijs van Oevelen ◽  
Alferso C. Abrahams ◽  
Friedo W. Dekker ◽  
Joris I. Rotmans ◽  
...  
Keyword(s):  
Observational Study ◽  
Regression Model ◽  
Multicenter Study ◽  
Cox Regression ◽  
Hemodialysis Patients ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Cox Regression Model ◽  
Catheter Malfunction ◽  
Lower Hazard

Abstract Introduction To prevent infection and thrombosis of central venous catheters (CVCs) in hemodialysis patients, different CVC lock solutions are available. Taurolidine-based solutions and citrate in different concentrations are frequently used, but no definite conclusions with regard to superiority have been drawn. Methods In this retrospective, observational, multicenter study, we aimed to assess the risk for removal of CVC due to infection or catheter malfunction in hemodialysis patients with CVC access for different lock solutions: taurolidine, high-concentrated citrate (46.7%) and low-concentrated citrate (4 or 30%). A multivariable Cox-regression model was used to calculate hazard ratio’s (HR). Results We identified 1514 patients (median age 65 years, 59% male). In 96 (6%) taurolidine-based lock solutions were used. In 1418 (94%) citrate-based lock solutions were used (high-concentrated 73%, low-concentrated 20%). Taurolidine-based lock solutions were associated with a significantly lower hazard for removal of CVC due to infection or malfunction combined (HR 0.34, 95% CI 0.19–0.64), and for removal of CVC due to infection or malfunction separately (HR 0.36, 95% CI 0.15–0.88 and HR0.33, 95% CI 0.14–0.79). High-concentrated citrate lock solutions were not associated with a decreased hazard for our outcomes, compared to low-concentrated citrate lock solutions. Conclusion Removal of CVC due to infection or catheter malfunction occurred less often with taurolidine-based lock solutions. We present the largest cohort comparing taurolidine- and citrate-based lock solutions yet. However, due to the retrospective observational nature of this study, conclusions with regard to superiority should be drawn with caution.

A Stuck Hemodialysis Central venous Catheter

2008 ◽  
Vol 9 (4) ◽  
pp. 301-303 ◽  
Author(s):  
M. Field ◽  
J. Pugh ◽  
J. Asquith ◽  
S. Davies ◽  
A.D. Pherwani
Keyword(s):  
Case Report ◽  
Central Venous Catheter ◽  
Vascular Access ◽  
Insertion Site ◽  
Venous Catheter ◽  
Hemodialysis Patients ◽  
Central Venous Catheters ◽  
Central Venous

Background A growing number of hemodialysis patients are dependent upon central venous catheters (CVCs) for long-term vascular access. Although many complications of CVCs have been documented, the phenomenon of the stuck catheter is described relatively infrequently. Case report We describe a case where attempts to remove the line by exploration of the jugular insertion site in theater were unsuccessful and the line was internalized. Discussion The case is then discussed with all available cases in the literature to suggest principles of managing and preventing the stuck catheter phenomenon.

scholarly journals SP600THE FIELD OF INTERVENTIONAL NEPHROLOGY IN GREECE: WHO IS RESPONSIBLE FOR THE PLACEMENT OF PERMANENT TUNNELED CENTRAL VENOUS CATHETERS IN PREVALENT HEMODIALYSIS PATIENTS?

2018 ◽  
Vol 33 (suppl_1) ◽  
pp. i549-i549
Author(s):  
Stylianos Fragkidis ◽  
Christos Bantis ◽  
Karmen Armentzoiu ◽  
Ellada Tsantekidou ◽  
Styliani Pashou ◽  
...  
Keyword(s):  
Hemodialysis Patients ◽  
Central Venous Catheters ◽  
Central Venous
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