title: [Tunneled hemodialysis catheters complications: a retrospective and monocentric comparative study of two devices].
abstract: OBJECTIVE
  In a monocentric retrospective study, two tunneled hemodialysis catheters have been compared: a twin cylinder catheter (Dualcath) and a split tip catheter (Hemosplit).
  
  
  METHODS
  Patients who got catheters from January 1st 2007 to December 31st 2008 have been selected. Thrombotic events, as well as infectious events, were recorded in their dialysis file during this period of time.
  
  
  RESULTS
  The study was carried out on 50 patients. Thirty of them were given Dualcath, 23 were given Hemosplit, and three both of them. A Kaplan-Meier analysis has enabled to draw up the catheter survival curves, and the log-rank test enables to establish a survival of 93.1% at 20 months for Dualcath while 42.2% for Hemosplit. As far as the thrombotic complications with catheter incident are concerned, their incidence is 25.5 and 46.4 out of 1000 catheter-days (P<0,0001). The ones with catheter manipulation have incidences of 6.78 and 9.33 out of 1000 catheter-days, respectively for Dualcath and Hemosplit (NS). Dualcath presents catheter-related infections with a rate of 4.38 out of 1000-catheter days while 5.07 for Hemosplit (NS).
  
  
  CONCLUSIONS
  The Dualcath catheter presents a better survival than the Hemosplit catheter as well as weaker incident type thrombotic complications.
authors: Pharmacie, centre hospitalier de Dunkerque, 130, avenue Louis-Herbeaux, 59385 Dunkerque, France. helene.beaussart@chru-lille.fr
authors: Hélène
authors: H
authors: Beaussart
authors: Bertrand
authors: B
authors: Décaudin
authors: Jean-Pierre
authors: JP
authors: Résibois
authors: Pascal
authors: P
authors: Odou
authors: Raymond
authors: R
authors: Azar
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D055499:Catheter-Related Infections / Q000453:epidemiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D006435:Renal Dialysis / Q000009:adverse effects* / Q000295:instrumentation; D012189:Retrospective Studies; D016019:Survival Analysis; D013927:Thrombosis / Q000453:epidemiology* / Q000209:etiology; D055815:Young Adult