title: Use of iliac vein tunneled cuffed catheters in elderly hemodialysis patients: a single-center retrospective study.
abstract: BACKGROUND
  Until now, the survival of iliac vein tunneled cuffed catheters (TCCs) used in elderly patients has not been fully investigated. Accordingly, we evaluated their use in elderly hemodialysis patients with no other venous access options.
  
  
  METHODS
  A total of 70 elderly patients with iliac vein TCCs undergoing chronic hemodialysis were included in this study. Patients' baseline anthropometric and laboratory parameters were measured. Incidence of catheter dysfunction and of catheter-related infection was documented.
  
  
  RESULTS
  During the study period, a total of 99 new tunneled dialysis catheters were placed. Technical success rate was 100 %. Median infection-free survival and dysfunction-free survival after catheterization was 617 and 875 catheter days, respectively. Mean survival time per catheter was 1067 catheter days, corresponding to a total observation period of 65369 catheters days.
  
  
  CONCLUSIONS
  Iliac TCC is both technically feasible and effective for hemodialysis in elderly patients with no other venous access options.
authors.affiliation: Department of Kidney Disease and Blood Purification Centre, Institute of Urology and Key Laboratory of Tianjin, 2nd Hospital of Tianjin Medical University, Tianjin, People's Republic of China.
authors.forename: Lihua
authors.initials: L
authors.lastname: Wang
authors.affiliation: Department of Kidney Disease and Blood Purification Centre, Institute of Urology and Key Laboratory of Tianjin, 2nd Hospital of Tianjin Medical University, Tianjin, People's Republic of China.
authors.forename: Fang
authors.initials: F
authors.lastname: Wei
authors.affiliation: Department of Kidney Disease and Blood Purification Centre, Institute of Urology and Key Laboratory of Tianjin, 2nd Hospital of Tianjin Medical University, Tianjin, People's Republic of China.
authors.forename: Guijiang
authors.initials: G
authors.lastname: Sun
authors.affiliation: Department of Kidney Disease and Blood Purification Centre, Institute of Urology and Key Laboratory of Tianjin, 2nd Hospital of Tianjin Medical University, Tianjin, People's Republic of China.
authors.forename: Haiyan
authors.initials: H
authors.lastname: Chen
authors.affiliation: Department of Kidney Disease and Blood Purification Centre, Institute of Urology and Key Laboratory of Tianjin, 2nd Hospital of Tianjin Medical University, Tianjin, People's Republic of China.
authors.forename: Haibo
authors.initials: H
authors.lastname: Yu
authors.affiliation: Department of Kidney Disease and Blood Purification Centre, Institute of Urology and Key Laboratory of Tianjin, 2nd Hospital of Tianjin Medical University, Tianjin, People's Republic of China. aili_j@163.com.|, 23rd, Pingjiang Road, Hexi District, Tianjin, 300211, People's Republic of China. aili_j@163.com.
authors.forename: Aili
authors.initials: A
authors.lastname: Jiang
mesh_terms: D000367:Age Factors; D000368:Aged; D055499:Catheter-Related Infections / Q000382:microbiology; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation*; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation*; D002408:Catheters, Indwelling / Q000009:adverse effects; D002681:China; D018572:Disease-Free Survival; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D053208:Kaplan-Meier Estimate; D008297:Male; D010690:Phlebography; D006435:Renal Dialysis / Q000009:adverse effects / Q000295:instrumentation*; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D062666:Vascular Access Devices / Q000009:adverse effects; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging
keywords: Elderly patients; Hemodialysis; Iliac tunneled cuffed catheter