Efficacy of in situ replacement of a tunneled cuffed catheter in patient receiving chronic hemodialysis
Objective To explore the efficacy of in situ replacement of a tunneled cuffed catheter(TCC) by comparing with the method of re-catheterization of TCC in a separate site in chronic hemodialysis patients.Methods A total of 28 patients receiving chronic hemodialysis with dysfunctional TCCs 2 years afte...
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| Language: | zho |
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Editorial Department of Journal of Clinical Nephrology
2015-01-01
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| Series: | Linchuang shenzangbing zazhi |
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| Online Access: | http://www.lcszb.com/thesisDetails?columnId=57921299&Fpath=home&index=0 |
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| author | YUAN Li-ping LUO Min-hong CHEN Zhen-wei CHEN Qiu-lian WU Qiang Yang Tie-cheng |
| author_facet | YUAN Li-ping LUO Min-hong CHEN Zhen-wei CHEN Qiu-lian WU Qiang Yang Tie-cheng |
| author_sort | YUAN Li-ping |
| collection | DOAJ |
| description | Objective To explore the efficacy of in situ replacement of a tunneled cuffed catheter(TCC) by comparing with the method of re-catheterization of TCC in a separate site in chronic hemodialysis patients.Methods A total of 28 patients receiving chronic hemodialysis with dysfunctional TCCs 2 years after catheterization were included in this study.All participants received a new TCC insertion by the method of re-catheterization of the TCC in a separate site(n = 16) or replacement of the TCC in situ(n= 12).Efficacy of indwelling TCCs,complications related to insertion,and patients’ characteristics were compared in these two groups of patients by the different method of catheterization.Results Six cases of failing to insert a TCC were seen in patients who received re-catheterization of TCC in a separate site(6/16).In patients who received replacement of TCC in situ,all insertions were successful with catheter blood flow more than 220 ml/min and without any complication.There was no statistically significant difference in catheter blood flow,Kt/V,URR,dialysis duration,and patients’ demographics between these two groups of patients with different catheterization methods.After a 3-month follow-up,the rate of catheter related infection after insertion was higher in patients who received replacement TCC in situ than those who received re-catheterization of TCC in a separate site(P<0.05).Conclusions In situ replacement of a TCC is an efficient method to treat a dysfunctional catheter in patients on chronic hemodialysis.Caution should be taken to reduce the rate of infection during catheterization. |
| format | Article |
| id | doaj-art-03318b85897142f0abb8812ef93ee7df |
| institution | DOAJ |
| issn | 1671-2390 |
| language | zho |
| publishDate | 2015-01-01 |
| publisher | Editorial Department of Journal of Clinical Nephrology |
| record_format | Article |
| series | Linchuang shenzangbing zazhi |
| spelling | doaj-art-03318b85897142f0abb8812ef93ee7df2025-08-20T03:09:13ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902015-01-0160861157921299Efficacy of in situ replacement of a tunneled cuffed catheter in patient receiving chronic hemodialysisYUAN Li-pingLUO Min-hongCHEN Zhen-weiCHEN Qiu-lianWU QiangYang Tie-chengObjective To explore the efficacy of in situ replacement of a tunneled cuffed catheter(TCC) by comparing with the method of re-catheterization of TCC in a separate site in chronic hemodialysis patients.Methods A total of 28 patients receiving chronic hemodialysis with dysfunctional TCCs 2 years after catheterization were included in this study.All participants received a new TCC insertion by the method of re-catheterization of the TCC in a separate site(n = 16) or replacement of the TCC in situ(n= 12).Efficacy of indwelling TCCs,complications related to insertion,and patients’ characteristics were compared in these two groups of patients by the different method of catheterization.Results Six cases of failing to insert a TCC were seen in patients who received re-catheterization of TCC in a separate site(6/16).In patients who received replacement of TCC in situ,all insertions were successful with catheter blood flow more than 220 ml/min and without any complication.There was no statistically significant difference in catheter blood flow,Kt/V,URR,dialysis duration,and patients’ demographics between these two groups of patients with different catheterization methods.After a 3-month follow-up,the rate of catheter related infection after insertion was higher in patients who received replacement TCC in situ than those who received re-catheterization of TCC in a separate site(P<0.05).Conclusions In situ replacement of a TCC is an efficient method to treat a dysfunctional catheter in patients on chronic hemodialysis.Caution should be taken to reduce the rate of infection during catheterization.http://www.lcszb.com/thesisDetails?columnId=57921299&Fpath=home&index=0HemodialysisTunneled cuffed catheterin situ replacement catheter |
| spellingShingle | YUAN Li-ping LUO Min-hong CHEN Zhen-wei CHEN Qiu-lian WU Qiang Yang Tie-cheng Efficacy of in situ replacement of a tunneled cuffed catheter in patient receiving chronic hemodialysis Linchuang shenzangbing zazhi Hemodialysis Tunneled cuffed catheter in situ replacement catheter |
| title | Efficacy of in situ replacement of a tunneled cuffed catheter in patient receiving chronic hemodialysis |
| title_full | Efficacy of in situ replacement of a tunneled cuffed catheter in patient receiving chronic hemodialysis |
| title_fullStr | Efficacy of in situ replacement of a tunneled cuffed catheter in patient receiving chronic hemodialysis |
| title_full_unstemmed | Efficacy of in situ replacement of a tunneled cuffed catheter in patient receiving chronic hemodialysis |
| title_short | Efficacy of in situ replacement of a tunneled cuffed catheter in patient receiving chronic hemodialysis |
| title_sort | efficacy of in situ replacement of a tunneled cuffed catheter in patient receiving chronic hemodialysis |
| topic | Hemodialysis Tunneled cuffed catheter in situ replacement catheter |
| url | http://www.lcszb.com/thesisDetails?columnId=57921299&Fpath=home&index=0 |
| work_keys_str_mv | AT yuanliping efficacyofinsitureplacementofatunneledcuffedcatheterinpatientreceivingchronichemodialysis AT luominhong efficacyofinsitureplacementofatunneledcuffedcatheterinpatientreceivingchronichemodialysis AT chenzhenwei efficacyofinsitureplacementofatunneledcuffedcatheterinpatientreceivingchronichemodialysis AT chenqiulian efficacyofinsitureplacementofatunneledcuffedcatheterinpatientreceivingchronichemodialysis AT wuqiang efficacyofinsitureplacementofatunneledcuffedcatheterinpatientreceivingchronichemodialysis AT yangtiecheng efficacyofinsitureplacementofatunneledcuffedcatheterinpatientreceivingchronichemodialysis |