Application of transesophageal echocardiography for hemodialysis tunneled cuffed catheter dysfunction
Objective To explore the application value of transesophageal echocardiography （TEE） for evaluating hemodialysis tunneled cuffed catheter （TCC） dysfunction. Methods From March 1, 2020 to July 31, 2022, 28 patients hospitalized at Central Municipal Hospital for hemodialysis with tunneled cuffed cathe...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Department of Journal of Clinical Nephrology
2024-09-01
|
| Series: | Linchuang shenzangbing zazhi |
| Subjects: | |
| Online Access: | http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2024.09.002 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850264578034761728 |
|---|---|
| author | Yun-ruo Wang You Wu Du-juan Xu Ru Liu Su Niu |
| author_facet | Yun-ruo Wang You Wu Du-juan Xu Ru Liu Su Niu |
| author_sort | Yun-ruo Wang |
| collection | DOAJ |
| description | Objective To explore the application value of transesophageal echocardiography （TEE） for evaluating hemodialysis tunneled cuffed catheter （TCC） dysfunction. Methods From March 1, 2020 to July 31, 2022, 28 patients hospitalized at Central Municipal Hospital for hemodialysis with tunneled cuffed catheter （TCC） dysfunction. Both TEE and digital subtraction angiography（DSA） were performed for observing the status of catheter routing, thrombus, fibrin sheath and central venous disease, etc. Positive criteria for TEE/DSA if one or more of the following:（1）catheter-related thrombosis （CRT）; （2） fibrin sheath around duct; （3） central venous stenosis; （4）narrow chamber junction;（5）catheter in an inappropriate position. With DSA as a gold standard, sensitivity, specificity, accuracy, positive predictive value and negative predictive value of TEE results were analyzed. Receiver operating characteristic（ROC） curve and area under ROC curve（AUC） were employed for examining the accuracy of TEE and verifying the consistency of two inspection results. Results Among them,18 were TEE positive and 16 DSA positive. As compared with DSA results, TEE had a sensitivity of 87.5%, a specificity of 66.7%, an accuracy of 78.6%, a positive predictive value of 77.8% and a negative predictive value of 80%. AUC of 0.771 [95%CI （0.582, 0.960）], P = 0.016;Kappa = 0.553, P = 0.003] hinted at consistency between TEE/DSA results. Conclusion As an important modality of evaluating TCC dysfunction, TEE offers the advantages of non-invasiveness, affordability and convenience. It may guide the diagnosis and treatment of TCC dysfunction and is worthy of wider popularization. |
| format | Article |
| id | doaj-art-0eae66083cf14768a0e683a7d9884632 |
| institution | OA Journals |
| issn | 1671-2390 |
| language | zho |
| publishDate | 2024-09-01 |
| publisher | Editorial Department of Journal of Clinical Nephrology |
| record_format | Article |
| series | Linchuang shenzangbing zazhi |
| spelling | doaj-art-0eae66083cf14768a0e683a7d98846322025-08-20T01:54:40ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902024-09-0124971271910.3969/j.issn.1671-2390.2024.09.00220230381Application of transesophageal echocardiography for hemodialysis tunneled cuffed catheter dysfunctionYun-ruo Wang0You Wu1Du-juan Xu2Ru Liu3Su Niu4Department of Nephrology, Central Municipal Hospital, Xuzhou 221009, ChinaNanjing University of Traditional Chinese Medicine, Nanjing 210023, ChinaDepartment of Ultrasonography, Central Municipal Hospital, Xuzhou 221009, ChinaDepartment of Ultrasonography, Central Municipal Hospital, Xuzhou 221009, ChinaDepartment of Intervention, Central Municipal Hospital, Xuzhou 221009, ChinaObjective To explore the application value of transesophageal echocardiography （TEE） for evaluating hemodialysis tunneled cuffed catheter （TCC） dysfunction. Methods From March 1, 2020 to July 31, 2022, 28 patients hospitalized at Central Municipal Hospital for hemodialysis with tunneled cuffed catheter （TCC） dysfunction. Both TEE and digital subtraction angiography（DSA） were performed for observing the status of catheter routing, thrombus, fibrin sheath and central venous disease, etc. Positive criteria for TEE/DSA if one or more of the following:（1）catheter-related thrombosis （CRT）; （2） fibrin sheath around duct; （3） central venous stenosis; （4）narrow chamber junction;（5）catheter in an inappropriate position. With DSA as a gold standard, sensitivity, specificity, accuracy, positive predictive value and negative predictive value of TEE results were analyzed. Receiver operating characteristic（ROC） curve and area under ROC curve（AUC） were employed for examining the accuracy of TEE and verifying the consistency of two inspection results. Results Among them,18 were TEE positive and 16 DSA positive. As compared with DSA results, TEE had a sensitivity of 87.5%, a specificity of 66.7%, an accuracy of 78.6%, a positive predictive value of 77.8% and a negative predictive value of 80%. AUC of 0.771 [95%CI （0.582, 0.960）], P = 0.016;Kappa = 0.553, P = 0.003] hinted at consistency between TEE/DSA results. Conclusion As an important modality of evaluating TCC dysfunction, TEE offers the advantages of non-invasiveness, affordability and convenience. It may guide the diagnosis and treatment of TCC dysfunction and is worthy of wider popularization.http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2024.09.002tunneled cuffed cathetercatheter dysfunctionhemodialysis |
| spellingShingle | Yun-ruo Wang You Wu Du-juan Xu Ru Liu Su Niu Application of transesophageal echocardiography for hemodialysis tunneled cuffed catheter dysfunction Linchuang shenzangbing zazhi tunneled cuffed catheter catheter dysfunction hemodialysis |
| title | Application of transesophageal echocardiography for hemodialysis tunneled cuffed catheter dysfunction |
| title_full | Application of transesophageal echocardiography for hemodialysis tunneled cuffed catheter dysfunction |
| title_fullStr | Application of transesophageal echocardiography for hemodialysis tunneled cuffed catheter dysfunction |
| title_full_unstemmed | Application of transesophageal echocardiography for hemodialysis tunneled cuffed catheter dysfunction |
| title_short | Application of transesophageal echocardiography for hemodialysis tunneled cuffed catheter dysfunction |
| title_sort | application of transesophageal echocardiography for hemodialysis tunneled cuffed catheter dysfunction |
| topic | tunneled cuffed catheter catheter dysfunction hemodialysis |
| url | http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2024.09.002 |
| work_keys_str_mv | AT yunruowang applicationoftransesophagealechocardiographyforhemodialysistunneledcuffedcatheterdysfunction AT youwu applicationoftransesophagealechocardiographyforhemodialysistunneledcuffedcatheterdysfunction AT dujuanxu applicationoftransesophagealechocardiographyforhemodialysistunneledcuffedcatheterdysfunction AT ruliu applicationoftransesophagealechocardiographyforhemodialysistunneledcuffedcatheterdysfunction AT suniu applicationoftransesophagealechocardiographyforhemodialysistunneledcuffedcatheterdysfunction |