Next Article in Journal
Stroke Volume Variation and Stroke Volume Index Can Predict Fluid Responsiveness after Mini-Volume Challenge Test in Patients Undergoing Laparoscopic Cholecystectomy
Previous Article in Journal
Inhibition of MELK Protooncogene as an Innovative Treatment for Intrahepatic Cholangiocarcinoma
Open AccessArticle

Risk of Complications and Survival of Patients Dialyzed with Permanent Catheters

1
Vascular Surgery Clinic, Provincial Hospital, 25-736 Kielce, Poland
2
2nd Department of Cardiology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, 40-055 Katowice, Poland
3
Faculty of Medicine and Health Studies, Jan Kochanowski University, 25-369 Kielce, Poland
4
Acute Cardiac Care Unit, Swietokrzyskie Cardiology Center, 25-736 Kielce, Poland
5
Department of Cardiology, Swietokrzyskie Cardiology Center, 25-736 Kielce, Poland
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(1), 2; https://doi.org/10.3390/medicina56010002
Received: 4 November 2019 / Revised: 5 December 2019 / Accepted: 12 December 2019 / Published: 19 December 2019
Background and Objectives: An increase in the incidence of end-stage renal disease (ESRD) is associated with the need for a wider use of vascular access. Although arteriovenous (A-V) fistula is a preferred form of vascular access, for various reasons, permanent catheters are implanted in many patients. Materials and Methods: A retrospective analysis of clinical data was carried out in 398 patients (204 women) who in 2010–2016 were subjected to permanent dialysis catheters implantation as first vascular access or following A-V fistula dysfunction. The factors influencing the risk of complications related to vascular access and mortality were evaluated and the comparison of the group of patients with permanent catheter implantation after A-V fistula dysfunction with patients with first-time catheter implantation was carried out. Results: The population of 398 people with ESRD with mean age of 68.73 ± 13.26 years had a total of 495 permanent catheters implanted. In 129 (32.6%) patients, catheters were implanted after dysfunction of a previously formed dialysis fistula. An upward trend was recorded in the number of permanent catheters implanted in relation to A-V fistulas. Ninety-two infectious complications (23.1%) occurred in the study population in 65 patients (16.3%). Multivariate analysis showed that permanent catheters were more often used as the first vascular access option in elderly patients and cancer patients. Mortality in the mean 1.38 ± 1.17 years (min 0.0, max 6.70 years) follow-up period amounted to 50%. Older age and atherosclerosis were the main risk factors for mortality. Patients with dialysis fistula formed before the catheter implantation had a longer lifetime compared to the group in which the catheter was the first access. Conclusion: The use of permanent catheters for dialysis therapy is associated with a relatively high incidence of complications and low long-term survival. The main factors determining long-term survival were age and atherosclerosis. Better prognosis was demonstrated in patients after the use of A-V fistula as the first vascular access option. View Full-Text
Keywords: permanent catheter; dialysis fistula; older age; risk of death; complications; survival permanent catheter; dialysis fistula; older age; risk of death; complications; survival
Show Figures

Figure 1

MDPI and ACS Style

Szarnecka-Sojda, A.; Jacheć, W.; Polewczyk, M.; Łętek, A.; Miszczuk, J.; Polewczyk, A. Risk of Complications and Survival of Patients Dialyzed with Permanent Catheters. Medicina 2020, 56, 2.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop