JCCVS
Journal of Cardiology & Cardiovascular Surgery

Journal of Cardiology & Cardiovascular Surgery scientific, open-access, double-blind peer-reviewed journal covering a wide spectrum of topics in cardiology and cardiovascular surgery.

eISSN: 2980-1397
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Original Article
Factors affecting the functional survival of catheters used in hemodialysis patients
Abstract
Aims: In hemodialysis procedures, the vascular access route and site are of great importance. This study aimed to contribute to the literature by investigating the functional survival times of hemodialysis vascular access sites and the clinical and laboratory characteristics that influence these parameters.
Methods: In our study, 193 patients were prospectively and observationally evaluated. Variables such as age, sex, presence of chronic infection, educational status, presence of hypertension, diabetes mellitus, or heart failure, body mass index (BMI), and data obtained during and after catheter insertion were taken into consideration. Additionally, the setting in which the catheter was inserted, the anatomical region of insertion, whether ultrasound (USG) guidance was used, and the reasons for catheter removal were assessed for their effects on the catheter’s functional survival and on patients’ exposure to additional invasive procedures.
Results: In the study, the shortest functional catheter duration was 0 days, and the longest was 169 days. The mean functional survival time of the catheters was found to be 19.99 ± 25.79 days. When catheter survival was evaluated according to the site of insertion, a statistically significant difference was observed (p < 0.05). Catheters inserted into the femoral region had shorter functional survival, while those inserted into the jugular and subclavian veins remained functional for longer periods. Furthermore, catheters placed without ultrasound guidance were associated with a higher rate of mechanical complications and had significantly shorter functional duration (p < 0.05). Vascular access site plays an important role in the treatment and follow-up of hemodialysis patients. Based on our findings, catheterization guided by radiological methods and preferential use of jugular or subclavian veins should be prioritized over femoral access routes.
Conclusion: Since the complications of hemodialysis catheters may significantly increase patient morbidity and mortality, this study aimed to investigate the complications associated with hemodialysis catheters and the factors influencing their functional survival times.

Keywords : Central venous catheter, hemodialysis, vascular access

Download Article


1. Stevens LA, Coresh J, Greene T, Levey AS. Assessing kidney function--measured and estimated glomerular filtration rate. N Engl J Med. 2006; 354(23):2473-2483. doi:10.1056/NEJMra054415
2. Hakim RM, Lazarus JM . Initiation of dialysis. J Am Soc Nephrol. 1995; 6(5):1319-1328. doi:10.1681/ASN.V651319
3. Lee KY. A unified pathogenesis for kidney diseases, including genetic diseases and cancers, by the protein-homeostasis-system hypothesis. Kidney Res Clin Pract. 2017;36(2):132-144. doi:10.23876/j.krcp.2017.36. 2.132
4. Dember LM, Beck GJ, Allon M, Delmez JA, Dixon BS, Greenberg A. Dialysis Access Consortium Study Group Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis: a randomized controlled trial. JAMA. 2008;299(18):2164-2171. doi:10.1001/jama.299. 18.2164
5. Duncan C, Trerotola SO. Outcomes of a percutaneous technique for shortening of totally implanted indwelling central venous chest port catheters. J Vasc Interv Radiol. 2016;27(7):1034-1037. doi:10.1016/j.jvir. 2016.02.025
6. Kelly LJ, Moss J. Innovation in training for totally implanted port insertion. Br J Nurs. 2016;25(Suppl 2):S22-S25. doi:10.12968/bjon.2016. 25.Sup2.S22
7. Canaud B, Leray-Moragues H, Garrigues V, Mion C: Permanent twin catheter: a vascular access option of choice for haemodialysis in elderly patients. Nephrol Dial Transplant. 1998;13(Suppl 7):82-88. doi:10.1093/ndt/13.suppl_7.82
8. Lemaire X, Morena M, Leray-Moragués H, et al. Analysis of risk factors for catheter-related bacteremia in 2000 permanent dual catheters for hemodialysis. Blood Purif. 2009;28(1):21-28. doi:10.1159/000210034
9. Randolph AG, Cook DJ, Gonzales CA, Pribble CG. Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature. Crit Care Med. 1996;24(12):2053-2058. doi:10.1097/ 00003246-199612000-00020
10. Halıcı Ü, Kayğın MA, Dağ Ö, et al. Geçici Hemodiyaliz Kateter Uygulamalarımız. Mustafa Kemal Üniv Tıp Derg. 2012;3(11):13-18.
11. Wang K, Wang P, Liang X, Lu X, Liu Z. Epidemiology of haemodialysis catheter complications: a survey of 865 dialysis patients from 14 haemodialysis centres in Henan province in China, BMJ Open. 2015; 5(11):e007136. doi:10.1136/bmjopen-2014-007136
12. Lorente L, Henry C, Martín MM, Jiménez A, Mora ML. Central venous catheter-related infection in a prospective and observational study of 2,595 catheters. Crit Care. 2005;9(6):R631-R635. doi:10.1186/cc3824
13. Collignon P, Soni N, Pearson I, Sorrell T, Woods P. Sepsis associated with central vein catheters in critically ill patients. Intensive Care Med. 1988;14(3):227-231. doi:10.1007/BF00717995
14. Sahli F , Feidjel R , Laalaoui R . Hemodialysis catheter-related infection: rates, risk factors and pathogens. J Infect Public Health. 2017;10(4):403-408. doi:10.1016/j.jiph.2016.06.008
15. Hoen B, Paul-Dauphin A, Hestin D, Kessler M. EPIBACDIAL: a multicenter prospective study of risk factors for bacteremia in chronic hemodialysis patients. J Am Soc Nephrol. 1998;9(5):869-876. doi:10.1681/ASN.V95869
16. Thomson P, Stirling C, Traynor J, Morris S, Mactier R. A prospective observational study of catheter-related bacteraemia and thrombosis in a haemodialysis cohort: univariate and multivariate analyses of risk association. Nephrol Dial Transplant. 2010;25(5):1596-1604. doi:10. 1093/ndt/gfp667
Article available in :
Volume 3, Issue 4, 2025
Page : 71-75
https://doi.org/10.51271/JCCVS-0063
Article Information
Received : 05 Kas 2025
Accepted : 20 Ara 2025
Published : 23 Ara 2025
Corresponding Author :

Samet Barış Gençer: Department of Internal Medicine, Sivas Numune State Hospital, Sivas, Turkiye

[email protected]
Citation : Gençer SB, Saygılı Yönem Ö, Köz S. Factors affecting the functional survival of catheters used in hemodialysis patients. J Cardiol Cardiovasc Surg. 2025;3(4):71-75.

Read: 50
Download : 53
Cited: 0
_Footer