Temporary Catheter Insertions and Complications in Our Nephrology Clinic: Clinical Experience of One Year
Journal Title: HASEKİ TIP BÜLTENİ - Year 2017, Vol 55, Issue 2
Abstract
Aim:Urgent hemodialysis in patients with renal insufficiency is usually provided by catheter insertions. Early complications of hemodialysis catheter insertions can increase morbidity and mortality. In this study, we investigated the characteristics of patients undergoing temporary hemodialysis catheter insertion in our nephrology clinic and complications. Methods:In this study, we reviewed the records of 151 patients in whom temporary hemodialysis catheters were inserted by the nephrologists of our clinic between August 2012 and August 2013. Demographic features, catheter insertion indications, and catheter insertion sites were assessed and complications were noted. Results:A total of 151 patients (94 female and 57 male) were included in the study. The average age of the patients was 58.66±16.8 years (minimum: 17, maximum: 92). No complication was observed in 112 (74.2%) patients during catheter insertions. Catheter insertion was repeated in 39 (25.8%) patients for various reasons. Arterial puncture occurred in 12 (7.9%) of 151 patients who had catheter insertions for the first time. None of the patients required surgical intervention. Conclusion: Temporary catheter insertions are required in patients needing urgent hemodialysis. However, they bring along the risk for many complications. Early referral of patients who require hemodialysis to nephrology clinic and application of permanent vascular interventions will reduce the need for temporary catheters and complications.
Authors and Affiliations
Özger Akarsu, Ahmet Yavuz, Ferhan Aytuğ, Egemen Cebeci, Ergün Parmaksız, Meral Meşe, Zerrin Bicik Bahçebaşı
Frequency of Paroxysmal Nocturnal Hemoglobinuria Clone in Turkish Myelodysplastic Syndrome Group
Aim: Retrospective, cross-sectional, observational study to examine the frequency and features of paroxysmal nocturnal hemoglobinuria (PNH) clones in patients with myelodysplastic syndrome (MDS). Methods: Data were analy...
Pregnancy Following Kidney Transplantation
After a successful kidney transplantation, renal and endocrine functions quickly return to normal in many women and ovulation ensues. Woman with a renal transplant can have a successful pregnancy, however, there are many...
Idiopathic Nephrotic Syndrome in Childhood: A Retrospective Analysis of Two Hundred and Eighty Nine Patients
Aim: In this study, we aimed to evaluate the demographic and histopathological characteristics and response to medications in children with idiopathic nephrotic syndrome in Turkey. Methods: We reviewed medical records o...
An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal Adenoma
A case of adrenocorticotropic hormone (ACTH)-independent Cushing’s syndrome, which develops in the course of ACTH-dependent Cushing’s disease, is presented in this report. A 47-year-old woman with a past history of surge...
Role of Peritoneal Ultrafiltration in Heart Failure Treatment
Cardiorenal syndrome (CRS) is a general term that can reflect different clinical conditions in which cardiac and renal dysfunctions coexist. The main pathogenetic mechanisms playing a role in heart failure (HF) and CRS a...