Skip to main content

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

Journal of Nephrology volume 29, pages 105–110 (2016)Cite this article

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.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Zuo L, Wang M (2012) Current burden and probable increasing incidence of ESRD in China. Clin Nephrol (74)S1:S20–S22. doi:10.5414/CNP74S020

  2. Ravani P, Brunori G, Mandolfo S (2004) Cardiovascular comorbidity and late referral impact arteriovenous fistula survival: a prospective multicenter study. J Am Soc Nephrol 15:204–209. doi:10.1097/01.ASN.0000103870.31606.90

    PubMed  Article  Google Scholar 

  3. Latos DL (2002) Hemodialysis in the elderlyly: vascular access and initiation of renal replacement therapy. Semin Dial 15:91–93. doi:10.1046/j.1525-139X.2002.00031.x

    PubMed  Article  Google Scholar 

  4. Torreggiani M, Scaramuzzi ML, Manini A et al (2013) Hemodialysis vascular access: everything you always wanted to know about it (but were afraid to ask). J Nephrol 26(5):836–847. doi:10.5301/jn.5000209

    PubMed  Article  Google Scholar 

  5. Allon M, Daugirdas J, Depner TA, Greene T, Ornt D, Schwab SJ (2006) Effect of change in vascular access on patient mortality in hemodialysis patients. Am J Kidney Dis 7:469–477. doi:10.1053/j.ajkd.2005.11.023

    Article  Google Scholar 

  6. Ash SR (2008) Advances in tunneled central venous catheters for dialysis: design and performance. Semin Dial 2008(21):504–515. doi:10.1111/j.1525-139X.2008.00494.x

    Article  Google Scholar 

  7. Budruddin M, Mohsin N, Amitabh J et al (2009) Femoral vein tunneled catheters as a last resort to vascular access: report of five cases and review of literature. Ren Fail 31(4):320–322. doi:10.1080/08860220902780077

    PubMed  CAS  Article  Google Scholar 

  8. Napalkov P, Felici DM, Chu LK, Jacobs JR, Begelman SM (2013) Incidence of catheter-related complications in patients with central venous or hemodialysis catheters: a health care claims database analysis. BMC Cardiovasc Disord 16(13):86. doi:10.1186/1471-2261-13-86

    Article  Google Scholar 

  9. Betz C, Kraus D, Müller C, Geiger H (2006) Iliac cuffed tunnelled catheters for chronic haemodialysis vascular access. Nephrol Dial Transplant 21:2009–2012. doi:10.1093/ndt/gfl176

    PubMed  Article  Google Scholar 

  10. Develter W, De Cubber A, Van Biesen W, Vanholder R, Lameire N (2005) Survival and complications of indwelling venous catheters for permanent use in Hemodiaiysis patients. Artif Organs 29(5):399–405. doi:10.1111/j.1525-1594.2005.29067.x

    PubMed  Article  Google Scholar 

  11. Krishnasami Z, Carlton D, Bimbo L et al (2002) Management of hemodialysis catheter related bacteremia with an adjunctive antibiotic lock solution. Kidney Int 61:1136–1142. doi:10.1046/j.1523-1755.2002.00201.x

    PubMed  Article  Google Scholar 

  12. Saad TF (2001) Central venous dialysis catheters: catheter associated infection. Semin Dial 14:446–451. doi:10.1046/j.1525-139x.2001.00110.x

    PubMed  CAS  Article  Google Scholar 

  13. Jaber BL (2005) Bacterial infections in hemodialysis patients: pathogenesis and prevention. Kidney Int 67:2508–2519. doi:10.1111/j.1523-1755.2005.00364.x

    PubMed  Article  Google Scholar 

  14. Anriover B, Carlton D, Saddekni S et al (2000) Bacteremia associated with tunneled dialysis catheters: comparison of two treatment strategies. Kidney Int 7:2151–2155. doi:10.1046/j.1523-1755.2000.00067.x

    Article  Google Scholar 

  15. National Kidney Foundation (2006) K/DOQI clinical practice guidelines for vascular access. Am J Kidney Dis 48:S176–S247. doi:10.1053/j.ajkd.2006.04.029

    Article  Google Scholar 

  16. Bertoli Silvio V, Ciurlino Daniele, Musetti Claudio et al (2010) Experience of 70-cm-long femoral tunnelled twin Tesio catheters for chronic haemodialysis. Nephrol Dial Transplant 25:1584–1588. doi:10.1093/ndt/gfp660

    PubMed  Article  Google Scholar 

  17. Hayashi R, Huang E, Nissenson AR (2006) Vascular access for hemodialysis. Nat Clin Pract Nephrol 2(9):504–513. doi:10.1038/ncpneph0239

    PubMed  Article  Google Scholar 

  18. Xue JL, Dahl D, Ebben JP et al (2003) The association of initial hemodialysis access type with mortality outcomes in elderlyly Medicare ESRD patients. Am J Kidney Dis 42:1013–1019. doi:10.1016/j.ajkd.2003.07.004

    PubMed  Article  Google Scholar 

  19. Work J (2001) Chronic catheter placement. Sem Dial 14:436–440. doi:10.1046/j.1525-139x.2001.00108.x

    CAS  Article  Google Scholar 

  20. Martín-Peña A, Luque Márquez R, Guerrero MJ et al (2012) Tunneled hemodialysis catheter-related bloodstream infections: a prospective multicenter cohort study from Spain. J Vasc Access 3(2):239–245. doi:10.5301/jva.5000034

    Article  Google Scholar 

  21. Banerjee Satyaki (2009) Dialysis catheters and their common complications: an update. TheScientificWorldJOURNAL 18(9):1294–1299. doi:10.1100/tsw.2009.145

    Article  Google Scholar 

  22. Wilkin TD, Kraus MA, Lane KA, Trerotola SO (2003) Internal jugular vein thrombosis associated with hemodialysis catheters. Radiology 228:697–700. doi:10.1148/radiol.2283020681

    PubMed  Article  Google Scholar 

  23. Liangos O, Gul A, Madias NE, Jaber BL (2006) Long-term management of the tunneled venous catheter. Semin Dial 19:158–164. doi:10.1111/j.1525-139X.2006.00143.x

    PubMed  Article  Google Scholar 

  24. Shanaah A, Brier M, Dwyer A (2013) Fibrin sheath and its relation to subsequent events after tunneled dialysis catheter exchange. Semin Dial 26(6):733–737. doi:10.1111/sdi.12074

    PubMed  Article  Google Scholar 

  25. Oliver MJ, Mendelsson DC, Quinn RR et al (2007) Catheter patency and function after catheter sheath disruption: a pilot study. Clin J Am Soc Nephrol 2:1201–1206. doi:10.2215/CJN.01910507

    PubMed  Article  Google Scholar 

  26. Maya ID, Allon M (2005) Outcomes of tunneled femoral hemodialysis catheters: comparison with internal jugular vein catheters. Kidney Int 68(6):2886–2889. doi:10.1111/j.1523-1755.2005.00762.x

    PubMed  Article  Google Scholar 

  27. Asif A (2008) Reducing the morbidity of tunneled hemodialysis catheters–a symposium. Semin Dial 21(6):503. doi:10.1111/j.1525-139X

    PubMed  Article  Google Scholar 

  28. Moist LM, Trpeski L, Na Y et al (2008) Increased hemodialysis catheter use in Canada and associated mortality risk: data from the Canadian Organ Replacement Registry 2001–2004. Clin J Am Soc Nephrol 3:1726–1732. doi:10.2215/CJN.01240308

  29. Apostolou T (2007) Quality of life in the elderlyly patients on dialysis. Int Urol Nephrol 39:679–683. doi:10.1016/j.urology.2006.09.004

    PubMed  Article  Google Scholar 

  30. Herrington William G, Nye Helen J, Haynes Richard J, Winearls Christopher G, Vaux Emma C (2013) Does prophylactic anticoagulation reduce the risk of femoral tunneled dialysis catheter-related complications? J Vasc Access 14(2):135–142. doi:10.5301/jva.5000117

    PubMed  Article  Google Scholar 

  31. Hinchliffe WT, Ahmed S, Mansy H (2011) Bilateral cuffed tunnelled femoral dialysis catheters. Int J Nephrol Renovasc Dis 4:137–138. doi:10.2147/IJNRD.S25687

  32. Blot F, Nitenberg G, Chachaty E et al (1999) Diagnosis of catheter related bacteraemia: a prospective comparison of the time to positivity of hub-blood versus peripheral-blood cultures. Lancet 354:1071–1077. doi:10.1016/S0140-6736(98)11134-0

    PubMed  CAS  Article  Google Scholar 

  33. Besarab A, Pandey R (2011) Catheter management in hemodialysis patients: delivering adequate flow. Clin J Am Soc Nephrol 6(1):227–234. doi:10.2215/CJN.04840610

    PubMed  Article  Google Scholar 

  34. Forneris G, Savio D, Quaretti P et al (2014) Dealing with stuck hemodialysis catheter: state of the art and tips for the nephrologist. J Nephrol 27:619–625. doi:10.1007/s40620-014-0150-4

    Article  Google Scholar 

Download references

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.

Author information

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

Authors
  1. Lihua Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Fang Wei
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Guijiang Sun
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Haiyan Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Haibo Yu
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Aili Jiang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Aili Jiang.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

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

Keywords

  • Hemodialysis
  • Iliac tunneled cuffed catheter
  • Elderly patients