Outcome of tunneled hemodialysis catheters placed by radiologists

被引：154

作者：

Lund, GB ^{[1
]}

Trerotola, SO ^{[1
]}

Scheel, PF ^{[1
]}

Savader, SJ ^{[1
]}

Mitchell, SE ^{[1
]}

Venbrux, AC ^{[1
]}

Osterman, FA ^{[1
]}

机构：

[1] JOHNS HOPKINS UNIV HOSP,DEPT INTERNAL MED,CARDIOVASC DIAGNOST LAB,BALTIMORE,MD 21287

来源：

RADIOLOGY | 1996年 / 198卷 / 02期

关键词：

catheters and catheterization; central venous access; complications; dialysis;

D O I：

10.1148/radiology.198.2.8596851

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

PURPOSE: To compare the outcomes of hemodialysis catheters placed by interventional radiologists with those placed by surgeons. MATERIALS AND METHODS: The outcomes were retrospectively analyzed of 237 hemodialysis catheters placed in 140 patients by a radiology service from January 1991 through December 1992. Follow-up data were available for 222 catheters (94%). Catheter secondary patency and freedom from infection were analyzed statistically and by means of life-table analysis. RESULTS: Pneumothorax occurred after the placement of six catheters (2.5%); in two patients, a chest tube was required for decompression. Other short-term complications included air embolism with no clinical sequelae (two procedures) and prolonged oozing from the tunnel (two procedures). Long-term complications included infection and catheter failure. Infection occurred in 26 patients (18%) with 32 catheters (14%) and resulted in removal of 25 catheters. Ninety-three catheters (42%) failed, and 63 catheters (28%) were removed because of failure. CONCLUSION: Hemodialysis catheters placed by radiologists do not have a higher rate of complications or failure than catheters placed by surgeons.

引用

页码：467 / 472

页数：6

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