[Tunneled jugular catheters in chronic hemodialysis: report from a Center apropos of 101 cases].
Since 1984, internal jugular vein cannulation (I.J.V.C.) was performed in our Center for ESRD patients. 202 catheters were implanted in 79 patients. Our population was divided in 2 groups: group I corresponding to a rescue procedure for the chronic vascular access failure, group II corresponding to chronic implantation. Outcome analysis indicate the follows results: in both groups, the first I.J.V.C. withdrawal cause was a functional AV fistula. Infections were observed only in group II. Thrombosis is not infrequent requiring fibrinolytic drugs with a 54 FF per patient year additive cost. A special nurse training protocol is also required to reduce the thrombosis incidence. Accidental withdrawal occurred in 11% cases of group II. This observation underlines the need of better fixation devices.
Branger
B
B
Service de Médecine Interne C et de Néphrologie; CHU de Nîmes, France.
Zabadani
B
B
Vecina
F
F
Oules
R
R
Granolleras
C
C
Ramperez
P
P
Deschodt
G
G
Fourcade
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D001424:Bacterial Infections / Q000188:drug therapy / Q000209:etiology / Q000517:prevention & control; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000451:nursing / Q000706:statistics & numerical data*; D002408:Catheters, Indwelling / Q000009:adverse effects / Q000706:statistics & numerical data*; D004868:Equipment Failure; D005260:Female; D006436:Hemodialysis Units, Hospital / Q000706:statistics & numerical data*; D006801:Humans; D007601:Jugular Veins; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011677:Punctures; D012189:Retrospective Studies; D013927:Thrombosis / Q000209:etiology / Q000517:prevention & control
D000900:Anti-Bacterial Agents; D000925:Anticoagulants
Cathéters jugulaires tunnellisés chez l'hémodialysé chronique: bilan d'un centre à propos de 101 cas.