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Complications Associated with Permanent Internal Jugular Hemodialysis Catheter: A Retrospective Study

Introduction A significant increase in patients with end-stage renal disease has been observed currently in our community. Kidney transplantation is the most promising cure but the problem is that large numbers of people are not good candidates for transplantation. Hemodialysis is the next appropria...

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Autores principales: Hyder, Syed Muhammad Shahnawaz, Iqbal, Junaid, Lutfi, Irfan Amjad, Shazlee, Muhammad K, Hamid, Kamran, Rashid, Sadia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590860/
https://www.ncbi.nlm.nih.gov/pubmed/31259130
http://dx.doi.org/10.7759/cureus.4521
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author Hyder, Syed Muhammad Shahnawaz
Iqbal, Junaid
Lutfi, Irfan Amjad
Shazlee, Muhammad K
Hamid, Kamran
Rashid, Sadia
author_facet Hyder, Syed Muhammad Shahnawaz
Iqbal, Junaid
Lutfi, Irfan Amjad
Shazlee, Muhammad K
Hamid, Kamran
Rashid, Sadia
author_sort Hyder, Syed Muhammad Shahnawaz
collection PubMed
description Introduction A significant increase in patients with end-stage renal disease has been observed currently in our community. Kidney transplantation is the most promising cure but the problem is that large numbers of people are not good candidates for transplantation. Hemodialysis is the next appropriate medication for such patients and for patients with end-stage renal disease, who have no chance for transplantation. Morbidity and mortality are the consequences of vascular access complications. Local data related to the complication rate of permanent hemodialysis catheters is not available. The current study examines the complication rate in people due to permanent intrajugular hemodialysis catheterization. Materials and methods The study has been conducted in Dr Ziauddin University Hospital, Karachi. The dataset consists of 212 patients who had gone through jugular catheterizations for hemodialysis at this hospital from the year 2014 to the year 2015. A descriptive method has been chosen for obtaining appropriate results. Complications have also been categorized as early or late. Results Complications have been detected in around 24% of the patients from the dataset. Among these complications, infection has the highest percentage (around 13%) while 4% percent of patients have a failed puncture. The others have venous thrombosis, catheter thrombosis, hematoma, wrong canulation, and hemothorax and pneumothorax problems. Conclusion The study concludes that the placement of a permanent hemodialysis catheter in the internal jugular vein has a low complication rate. In addition, the method is safe and easy. So, it can be said that the internal jugular vein is a reliable and preferred route for hemodialysis catheterization.
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spelling pubmed-65908602019-06-29 Complications Associated with Permanent Internal Jugular Hemodialysis Catheter: A Retrospective Study Hyder, Syed Muhammad Shahnawaz Iqbal, Junaid Lutfi, Irfan Amjad Shazlee, Muhammad K Hamid, Kamran Rashid, Sadia Cureus Radiology Introduction A significant increase in patients with end-stage renal disease has been observed currently in our community. Kidney transplantation is the most promising cure but the problem is that large numbers of people are not good candidates for transplantation. Hemodialysis is the next appropriate medication for such patients and for patients with end-stage renal disease, who have no chance for transplantation. Morbidity and mortality are the consequences of vascular access complications. Local data related to the complication rate of permanent hemodialysis catheters is not available. The current study examines the complication rate in people due to permanent intrajugular hemodialysis catheterization. Materials and methods The study has been conducted in Dr Ziauddin University Hospital, Karachi. The dataset consists of 212 patients who had gone through jugular catheterizations for hemodialysis at this hospital from the year 2014 to the year 2015. A descriptive method has been chosen for obtaining appropriate results. Complications have also been categorized as early or late. Results Complications have been detected in around 24% of the patients from the dataset. Among these complications, infection has the highest percentage (around 13%) while 4% percent of patients have a failed puncture. The others have venous thrombosis, catheter thrombosis, hematoma, wrong canulation, and hemothorax and pneumothorax problems. Conclusion The study concludes that the placement of a permanent hemodialysis catheter in the internal jugular vein has a low complication rate. In addition, the method is safe and easy. So, it can be said that the internal jugular vein is a reliable and preferred route for hemodialysis catheterization. Cureus 2019-04-22 /pmc/articles/PMC6590860/ /pubmed/31259130 http://dx.doi.org/10.7759/cureus.4521 Text en Copyright © 2019, Hyder et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Hyder, Syed Muhammad Shahnawaz
Iqbal, Junaid
Lutfi, Irfan Amjad
Shazlee, Muhammad K
Hamid, Kamran
Rashid, Sadia
Complications Associated with Permanent Internal Jugular Hemodialysis Catheter: A Retrospective Study
title Complications Associated with Permanent Internal Jugular Hemodialysis Catheter: A Retrospective Study
title_full Complications Associated with Permanent Internal Jugular Hemodialysis Catheter: A Retrospective Study
title_fullStr Complications Associated with Permanent Internal Jugular Hemodialysis Catheter: A Retrospective Study
title_full_unstemmed Complications Associated with Permanent Internal Jugular Hemodialysis Catheter: A Retrospective Study
title_short Complications Associated with Permanent Internal Jugular Hemodialysis Catheter: A Retrospective Study
title_sort complications associated with permanent internal jugular hemodialysis catheter: a retrospective study
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590860/
https://www.ncbi.nlm.nih.gov/pubmed/31259130
http://dx.doi.org/10.7759/cureus.4521
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