title: [Tunneled jugular catheters in chronic hemodialysis: report from a Center apropos of 101 cases].
abstract: 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.
authors.affiliation: Service de Médecine Interne C et de Néphrologie; CHU de Nîmes, France.
authors.forename: B
authors.initials: B
authors.lastname: Branger
authors.forename: B
authors.initials: B
authors.lastname: Zabadani
authors.forename: F
authors.initials: F
authors.lastname: Vecina
authors.forename: R
authors.initials: R
authors.lastname: Oules
authors.forename: C
authors.initials: C
authors.lastname: Granolleras
authors.forename: P
authors.initials: P
authors.lastname: Ramperez
authors.forename: G
authors.initials: G
authors.lastname: Deschodt
authors.forename: J
authors.initials: J
authors.lastname: Fourcade
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D000925:Anticoagulants
vernacular_title: Cathéters jugulaires tunnellisés chez l'hémodialysé chronique: bilan d'un centre à propos de 101 cas.