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Use of iliac vein tunneled cuffed catheters in elderly hemodialysis patients: a single-center retrospective study

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Abstract

Background

Until now, the survival of iliac vein tunneled cuffed catheters (TCCs) used in elderly patients has not been fully investigated. Accordingly, we evaluated their use in elderly hemodialysis patients with no other venous access options.

Methods

A total of 70 elderly patients with iliac vein TCCs undergoing chronic hemodialysis were included in this study. Patients’ baseline anthropometric and laboratory parameters were measured. Incidence of catheter dysfunction and of catheter-related infection was documented.

Results

During the study period, a total of 99 new tunneled dialysis catheters were placed. Technical success rate was 100 %. Median infection-free survival and dysfunction-free survival after catheterization was 617 and 875 catheter days, respectively. Mean survival time per catheter was 1067 catheter days, corresponding to a total observation period of 65369 catheters days.

Conclusions

Iliac TCC is both technically feasible and effective for hemodialysis in elderly patients with no other venous access options.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Authors and Affiliations

  1. Department of Kidney Disease and Blood Purification Centre, Institute of Urology and Key Laboratory of Tianjin, 2nd Hospital of Tianjin Medical University, Tianjin, People’s Republic of China

    Lihua Wang, Fang Wei, Guijiang Sun, Haiyan Chen, Haibo Yu & Aili Jiang

  2. 23rd, Pingjiang Road, Hexi District, Tianjin, 300211, People’s Republic of China

    Aili Jiang

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  1. Lihua Wang
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  2. Fang Wei
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  3. Guijiang Sun
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  4. Haiyan Chen
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  5. Haibo Yu
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Correspondence to Aili Jiang.

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Wang, L., Wei, F., Sun, G. et al. Use of iliac vein tunneled cuffed catheters in elderly hemodialysis patients: a single-center retrospective study. J Nephrol 29, 105–110 (2016). https://doi.org/10.1007/s40620-015-0198-9

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  • DOI: https://doi.org/10.1007/s40620-015-0198-9

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