Tunneled Internal Jugular Catheters in Adult Patients: Comparison of Outcomes in Hemodialysis versus Infusion Catheters

Peynircioglu, B.; Ozkan, F.; Canyigit, M.; Cil, B. E.; Balkanci, F.
August 2007
Acta Radiologica;Aug2007, Vol. 48 Issue 6, p613
Academic Journal
Background: Tunneled central venous catheters placed by interventional radiologists are now widely used for hemodialysis and infusion therapies throughout the world. However, complications such as infections and malfunctions still remain a major concern in oncology and hemodialysis patients. Purpose: To evaluate the long-term follow-up results of tunneled central venous catheters in an adult population in terms of infectious complications and malfunction rates in dialysis and oncology patients. Material and Methods: We retrospectively reviewed the hospital charts and our electronic database for 434 tunneled internal jugular catheters in 335 consecutive patients between December 2002 and March 2006. Mean patient age was 57 years (range 23-86 years) in the hemodialysis group and 45 years (range 18-83 years) in the infusion group. A total of 224 hemodialysis catheters were placed in 168 patients (68 females, 100 males) and 210 infusion catheters in 167 patients (48 females, 119 males). Results: Technical success rate was 100%. Mean duration of catheter use was 86 days (1-652 days) and 60 days (2-686 days) for hemodialysis and infusion catheters, respectively. A total of 107 hemodialysis (47%) and 95 infusion catheters (45%) were electively removed due to completion of therapy and resolution of need for dialysis. Revisions were performed 0.22 and 0.11 per 100 catheters days in the hemodialysis and infusion groups, respectively. Our total infection rate was 0.10 episodes per 100 catheter days, and the rate of infections necessitating catheter removal was 0.05 episodes per 100 catheter days in the hemodialysis group, which is lower than that reported in other big series. However, in the infusion group, the rate of infections necessitating catheter removal was 0.28 episodes per 100 catheter days. Conclusion: Long-term central venous accesses using tunneled internal jugular catheters appeared to be safe and effective for both hemodialysis and long-term infusion therapies, with relatively higher infection rates in oncologic patients.


Related Articles

  • Factores que inciden sobre el tiempo de permanencia de un catéter endovenoso central. Bello-Villalobos, H.; Mora-Díaz, S.; Ojeda-Reyes, L.; González-Ávila G, G. // Nutricion Hospitalaria;may2006, Vol. 21 Issue 3, p332 

    Objective: To determine the factors that affect the dwell time of a central venous catheter. Background: The own immunodeficiency in cancer patient and the collateral effects of their treatment increase the probability of infection and reduce the time of use of a catheter. Subjects: Incipient...

  • Clinical Uses of the Small Plastic Catheter in Pediatric Patients. Fonkalsrud, Eric W. // Clinical Pediatrics;Feb1966, Vol. 5 Issue 2, p68 

    This article discusses the clinical applications of small plastic catheters in pediatric patients in the U.S. The small caliber plastic catheter with needle stylette has been developed into a safe and useful tool which may have many diagnostic and therapeutic applications in the management of...

  • Conhecimentos e práticas no uso do cateter periférico intermitente pela equipe de enfermagem. Moncaio, Ana Carolina Scarpel; de Figueiredo, Rosely Moralez // Revista Eletronica de Enfermagem;2009, Vol. 11 Issue 3, p620 

    The infusion therapy is indispensable in daily practical of nursing and the peripheral catheters are the most. This prospective, quantitative study, aiming to identify the frequency, characterizes the knowledge and practices of use of the intermittent peripheral catheter (CPI) by the nursing...

  • PERCUTANEOUS INTRODUCTION OF TIP-CLOSED CATHETERS. Olin, Tord // Angiology;Apr1965, Vol. 16 Issue 4, p177 

    A pereutaneous method for introduction of tip-closed catheters into blood vessels is described.

  • 'KNOTTING" OF A PIGTAIL CATHETER, AND ITS SUCCESSFUL REMOVAL. Wendth, Arthur J.; Moriarty, Daniel J.; Cross, Valmore F.; Vitale, Peter; Lopez, F. // Angiology;May1971, Vol. 22 Issue 5, p262 

    Presents a case where a pigtail catheter became knotted or looped upon itself. Discrepancy in blood pressure between the arms and legs of the patient; Cardiovascular surgeon's request that better visualization of the braciocephalic tree be obtained; Withdrawal of the catheter into the area of...

  • CDC Guidelines on Catheter-Related Infections. Morantz, Carrie; Torrey, Brian // American Family Physician;9/15/2003, Vol. 68 Issue 6, p1227 

    Deals with the guidelines issued by the U.S. Centers for Disease Control and Prevention in September 2003 on preventing intravascular catheter-related infections. Variations in the incidence of catheter-related bloodstream infections; Strategies emphasized in the recommendations.

  • Endologix provides larger cuff for patients.  // Medical Technology & Devices Week;8/27/2007, Vol. 5 Issue 35, p4 

    This section reports on the financial success of Endologix despite a recall on its Powerlink System delivery catheters a few years back. It is also noted that the investigational device exemption (IDE) clinical trial of the 34 mm diameter Powerlink infrarneral cuff in conjunction with the...

  • ON THE INTRAVASCULAR KNOTTING OF CATHETERS. Bierman, Howard R. // Vascular Surgery;Sep/Oct1972, Vol. 6 Issue 4, p155 

    Intravascular knotting of flexible catheters is a formidable but rare complication of vascular catheterization. It can best be avoided by three-dimensional visual control of the catheter tip at all times. A program for untying intravascular catheter knot is outlined.

  • CERTAIN HAZARDS OF THE CENTRAL VENOUS CATHETER. Tsapogas, Makis J. // Angiology;Jan1969, Vol. 20 Issue 1, p38 

    Studies certain hazards in the central venous catheter in patients who has sustained major trauma or is undergoing operative procedures. Placement of plastic central venous catheters by percutaneous technique or by surgical exposure of a peripheral vein; Possible complications of the procedures.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics