Double lumen catheter application and results in patients with end-stage renal disease: A prospective study single institutional experience

Abstract

Objective: The main objective of the present paper is to determine the indications, contraindications, complications and the results of temporary and permanent hemodialysis catheters in the patients with chronic renal failure. Material and Method: 280 interventions in 144 patients who were admitted to the department of nephrology in our hospitalwith chronic renal failure requiring hemodialysis and the catheterizationswere applied bysurgeons were included in the study. Results: Smaller diameter catheters were applied for low body size patients, large diameter catheters were applied for bigger body size patients; the most frequent reason for withdrawal was dysfunction in small size patients, but was the ending of the optimum usage period in the big body size patients; the most frequent reason for withdrawal of permanent access was the occlusion with clot (p: 0007); there was not any relationship between the abnormal route and the diameter of the catheter; the most frequent arterial puncture was encountered during the interventions on the right subclavian and left femoral veins (p: 0.01); vagal symptoms could appear during the interventions on the left subclavian vein (p: 0.001); there were statistically different catheter routes; both the infective events and the problems due to occlusion were most frequently encountered in the catheters which the arterial puncture occurred during their insertion (p: 0.002); none of the problem was encountered in the catheters which could be inserted after 5 or more puncture and these catheters were withdrawn since arteriovenous fistulae of these patients became suitable to usage (p: 0.041) were obtained. Conclusion: Both the indications, contraindications, complications and the results of catheterizations for hemodialysis which were applied frequently by surgeons, vascular surgeons, nephrologists and anesthetists and also the differences/features between/of temporary and permanent catheters were determined. We believe that evidences of this study will be helpful for clinicians.