Clinical outcomes of tunneled central jugular and femoral central venous catheters

The literature on the outcomes of tunneled femoral catheters compared to that of jugular catheters is scarce and derived mainly from small cohorts” Guillermo-Corpus et al (2018).

Abstract:

BACKGROUND: The literature on the outcomes of tunneled femoral catheters compared to that of jugular catheters is scarce and derived mainly from small cohorts.

MATERIAL AND METHODS: Seven hundred and sixty six catheters were placed in 673 hemodialysis patients, 622 in the jugular/subclavian veins and 144 in the femoral veins. Patients were followed prospectively for 36 months.

RESULTS: The survival of the tunneled catheters was 771 days 95% CI (737-805) for jugular and 660 days 95% CI (582-739) for femoral veins. Blood flow (0.292 ± 0.003 L/min) and infection rate (0.25 × 1,000 days/catheter) were similar for upper and lower extremities vascular accesses. Factors including sex, age, diabetes and previous catheters did not affect the outcome.

CONCLUSIONS: Femoral catheters provide outstanding vascular access with excellent, function and low risk of infection.

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Reference:

Guillermo-Corpus, G., Ramos-Gordillo, J.M. and Peña-Rodríguez, J.C. (2018) Survival and Clinical Outcomes of Tunneled Central Jugular and Femoral Catheters in Prevalent Hemodialysis Patients. Blood Purification. October 25th. .

doi: 10.1159/000494206.

Safety IV catheter