Temporary hemodialysis catheter associated with complications of permanent vascular access

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” 45 patients incurred long-term access complications after the first 2 years of dialysis, and 34 (75.6%) had used a temporary catheter starting HD.” Zhu et al (2014).

Reference:

Zhu, M., Zhang, W., Zhou, W., Zhou, Y., Fang, Y., Wang, Y., Zhang, H., Yan, Y., Ni, Z. and Qian, J. (2014) Initial Hemodialysis with a Temporary Catheter Is Associated with Complications of a Later Permanent Vascular Access. Blood Purification. 37(2), p.131-137.

Abstract:

The aim was to identify the risk factors of long-term vascular access complications. The study cohort consisted of 239 incident hemodialysis (HD) patients from 1998 to 2010 in a single center. Among these patients, 59.8% had initially been dialyzing with a temporary catheter. Within 3 months after starting dialysis, all catheters had been converted into permanent accesses. 45 patients incurred long-term access complications after the first 2 years of dialysis, and 34 (75.6%) had used a temporary catheter starting HD. Complication occurrence was associated with age, initiation dialysis with a catheter and heart failure by logistic regression (odds ratios were 1.04, 2.77 and 2.23, respectively; p < 0.05). The 2-year primary patency rates of arteriovenous fistulae were significantly higher than those of arteriovenous grafts (79.5 vs. 50%, p = 0.002). We concluded that age, using a catheter and heart failure in HD initiation had a strong impact on long-term access complications.

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