Comparison between Two Methods of Central Venous Catheter Placement in Hemodialysis Patients

Background: Central venous catheter is one the best and fastest ways to access the blood flow. Disadvantages of catheter insertion include early and late complications. In this study, we compared these complications in classic and tunneled methods. Methods: In a prospective study in 2008 in Alzahra...

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Main Authors: Ali Akbar Beigi, Akbar Kargari, Hafiz Ghaheri, Amir Hossein Davarpanahjazi
Format: Article
Language:fas
Published: Vesnu Publications 2012-07-01
Series:مجله دانشکده پزشکی اصفهان
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/1117
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spelling doaj-0542e81806ad49999f57e98e0cb5c8bd2020-11-25T01:12:53ZfasVesnu Publications مجله دانشکده پزشکی اصفهان1027-75951735-854X2012-07-01301891064Comparison between Two Methods of Central Venous Catheter Placement in Hemodialysis PatientsAli Akbar Beigi0Akbar Kargari1Hafiz Ghaheri2Amir Hossein Davarpanahjazi3Associate Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranResident, Department of Surgery, School of Medicine And Student Research Committee, Isfahan University of Medical Sciences, Isfahan, IranAssistant Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranResident, Medical Education Research Center, Department of Surgery, School of Medicine And Student Research Committee, Isfahan University of Medical Sciences, Isfahan, IranBackground: Central venous catheter is one the best and fastest ways to access the blood flow. Disadvantages of catheter insertion include early and late complications. In this study, we compared these complications in classic and tunneled methods. Methods: In a prospective study in 2008 in Alzahra Hospital (Isfahan, Iran), we compared the frequency of short-term (24-hour) and long-term (one-month) catheter-related complications in 60 hemodialysis patients. Patients were randomized into two groups. In the first group, catheters were placed via the classic method and in the second group, tunneled method was used. Finally, data was analyzed in SPSS16. Findings: The mean duration of catheter remaining was significantly higher in the tunneled group compared to the classic group (P < 0.0001). The frequency of early complications in the 2 groups showed no significant difference (P > 0.05). Similarly, the frequency of thrombosis was not significantly different between the two groups (P = 0.093). However, the frequency of infection and catheter failure in the tunneled group were less than the classic group (P < 0.0001). Conclusion: Tunneled catheterization is an effective and safe method for placement of vascular access in hemodialysis patients. Keywords: Central venous catheter, Hemodialysis, Percutaneous method, Complicationshttp://jims.mui.ac.ir/index.php/jims/article/view/1117
collection DOAJ
language fas
format Article
sources DOAJ
author Ali Akbar Beigi
Akbar Kargari
Hafiz Ghaheri
Amir Hossein Davarpanahjazi
spellingShingle Ali Akbar Beigi
Akbar Kargari
Hafiz Ghaheri
Amir Hossein Davarpanahjazi
Comparison between Two Methods of Central Venous Catheter Placement in Hemodialysis Patients
مجله دانشکده پزشکی اصفهان
author_facet Ali Akbar Beigi
Akbar Kargari
Hafiz Ghaheri
Amir Hossein Davarpanahjazi
author_sort Ali Akbar Beigi
title Comparison between Two Methods of Central Venous Catheter Placement in Hemodialysis Patients
title_short Comparison between Two Methods of Central Venous Catheter Placement in Hemodialysis Patients
title_full Comparison between Two Methods of Central Venous Catheter Placement in Hemodialysis Patients
title_fullStr Comparison between Two Methods of Central Venous Catheter Placement in Hemodialysis Patients
title_full_unstemmed Comparison between Two Methods of Central Venous Catheter Placement in Hemodialysis Patients
title_sort comparison between two methods of central venous catheter placement in hemodialysis patients
publisher Vesnu Publications
series مجله دانشکده پزشکی اصفهان
issn 1027-7595
1735-854X
publishDate 2012-07-01
description Background: Central venous catheter is one the best and fastest ways to access the blood flow. Disadvantages of catheter insertion include early and late complications. In this study, we compared these complications in classic and tunneled methods. Methods: In a prospective study in 2008 in Alzahra Hospital (Isfahan, Iran), we compared the frequency of short-term (24-hour) and long-term (one-month) catheter-related complications in 60 hemodialysis patients. Patients were randomized into two groups. In the first group, catheters were placed via the classic method and in the second group, tunneled method was used. Finally, data was analyzed in SPSS16. Findings: The mean duration of catheter remaining was significantly higher in the tunneled group compared to the classic group (P < 0.0001). The frequency of early complications in the 2 groups showed no significant difference (P > 0.05). Similarly, the frequency of thrombosis was not significantly different between the two groups (P = 0.093). However, the frequency of infection and catheter failure in the tunneled group were less than the classic group (P < 0.0001). Conclusion: Tunneled catheterization is an effective and safe method for placement of vascular access in hemodialysis patients. Keywords: Central venous catheter, Hemodialysis, Percutaneous method, Complications
url http://jims.mui.ac.ir/index.php/jims/article/view/1117
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