| The case for primary placement of tunneled hemodialysis catheters in acute kidney injury. | |
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MedLine Citation:
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PMID: 19944983 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Nontunneled hemodialysis catheters (NTDCs) are widely used for initial hemodialysis access in new-onset renal failure. The National Kidney Foundation recommends NTDC use for hemodialysis duration of less than 1 week in acute kidney injury because of the increased infection risk compared with tunneled hemodialysis catheters (TDCs) with longer use. The present study was performed to determine whether primary placement of TDCs in this setting is more appropriate, and whether there are predictors of recovery of renal function in less than 1 week. MATERIALS AND METHODS: In the authors' practice, patients referred to the interventional radiology unit in whom no contraindications exist receive a TDC; 76 patients who received a primary TDC for acute kidney injury and who eventually recovered renal function were retrospectively reviewed herein. Causes of renal failure, various renal function parameters, and demographics were collected, as were TDC dwell times, in an effort to determine predictors of recovery and/or extended duration of use. RESULTS: Mean TDC dwell time in patients who eventually recovered from acute kidney injury was 34 days; only 15 of 76 (20%) recovered within 1 week. At TDC placement, there were no significant differences between patients who recovered in less than (vs greater than) 1 week. CONCLUSIONS: The present results support primary placement of TDCs in patients with acute kidney injury who require hemodialysis and in whom no contraindications exist, as no predictors of recovery of renal function in less than 1 week were identified. |
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Authors:
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Lee Coryell; Jason P Lott; S William Stavropoulos; Jeffrey I Mondschein; Aalpen A Patel; Andrew Kwak; Michael C Soulen; Jeffrey A Solomon; Richard D Shlansky-Goldberg; Alexander A Nemeth; Sidney Kobrin; Michael Rudnick; Scott O Trerotola |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of vascular and interventional radiology : JVIR Volume: 20 ISSN: 1535-7732 ISO Abbreviation: J Vasc Interv Radiol Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-30 Completed Date: 2010-01-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9203369 Medline TA: J Vasc Interv Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 1578-81; quiz 1582 Citation Subset: IM |
Affiliation:
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Department of Radiology, Division of Interventional Radiology, University of Pennsylvania Medical Center, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Catheter-Related Infections / etiology Catheters, Indwelling* / adverse effects Equipment Design Evidence-Based Medicine Female Humans Kidney / injuries*, physiopathology Kidney Diseases / physiopathology, therapy* Kidney Function Tests Male Middle Aged Patient Selection Practice Guidelines as Topic Recovery of Function Renal Dialysis / adverse effects, instrumentation* Retrospective Studies Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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