title: [Tunnelled internal jugular vein catheters with taurolidine lock: an acceptable challenge to arterio-venous fistula in 70 years old haemodialyzed patients: a prospective pilot study].
abstract: Arteriovenous fistula (AVF) is still in 2010 the gold standard of vascular(2) access in haemodialysis (HD) patients. Nevertheless it may be difficult to obtain and/or to use AVF in elderly. With this prospective randomised pilot study, we compare two strategies of vascular access in 70 years old or more new HD patients. AVF were compared to tunnelled jugular vein catheters (TIJC) with taurolidine as bacterial lock solution. Results were as follow: [table: see text] The responses with the visual analogic scale of comfort was 8/10 for TIJC and 5/10 with AVF * P<0.05. In five TIJC patients, heparin was added with success to taurolidine because of partial clotting of catheters. Albuminemia was significantly lower in AVF failure patients compared to AVF success patients (24.8g/L vs 31.1g/L). This pilot study allows to conclude that TIJC is an acceptable challenge to AVF in haemodialysed patients of 70 years or more in a two years long use.
authors: Service de néphrologie, hôpital Carémeau, CHU de Nîmes, place du professeur Robert-Debré, 30029 Nîmes cedex 9, France. bernard.branger@chu-nimes.fr
authors: Bernard
authors: B
authors: Branger
authors: Pascal
authors: P
authors: Reboul
authors: Camélia
authors: C
authors: Prelipcean
authors: Maria Eugenia
authors: ME
authors: Noguera
authors: Sylvain
authors: S
authors: Cariou
authors: Céline
authors: C
authors: Granolleras
authors: Frédérique
authors: F
authors: Vecina
authors: Bachir
authors: B
authors: Zabadani
authors: Samir
authors: S
authors: Boubenider
authors: Philippe
authors: P
authors: Rousseau
authors: Gérard
authors: G
authors: Deshodt
authors: Pierre
authors: P
authors: Ramperez
authors: Bernard
authors: B
authors: Hory
authors: Eric
authors: E
authors: Picard
authors: Pascal
authors: P
authors: Branchereau
authors: Pascale
authors: P
authors: Fabbro-Peray
authors: Jacques
authors: J
authors: Fourcade