Objective: To establish if 23 cm length, tunneled catheters, are associated to better outcomes than 19 cm ones.
Patients, Materials and Methods: Patients with CKD G5D, which the only vascular access alternative was the femoral vein. In these patients, the performance of different lengths of catheters was compared.
Results: During 103 months (from February 2009 to September 2017), 30 femoral tunneled catheters were implanted in 19 patients; 15 each group, mean age was 56.3 years. Thirteen (68.4%) were men. Catheters with similar design, but with different lengths, yield comparable results in patency, complications and cause of removal.
Conclusions: We suggest using femoral catheters with lengths from 25 to 55 cm (from the cuff to the tip) to obtain best results because such lengths are necessary to reach positions near the right atrium.
2. Astor BC, Eustace JA, Powe NR, Klag MJ, Fink NE, Coresh J; CHOICE Study. Type of vascularS access and survival among incident hemodialysis patients: the Choices for Healthy Outcomes in Caring for ESRD (CHOICE) Study. J Am Soc Nephrol. 2005;16:1449-1455.
3. Situación de la enfermedad renal crónica en Colombia 2015. www. cuentadealtocosto.org/
4. Restrepo CA, Chacon JA, Villota DM. Safety related to the implantation of jugular catheters for hemodyalisis and usefulness of PA chest X rays post procedure. Acta Med Colomb 2008; 33: 68-74.
5. Restrepo Valencia CA, Buritica Barragan CM. Implanting haemodialysis catheters in the brachiocephalic vein: a little-used approach. Nefrología 2009; 29: 354-357.
6. Restrepo Valencia CA. Axillary catheter for hemodialysis, an alternative vascular access. Nefrología 2008; 28: 77-81.
7. Restrepo Valencia CA, Buitrago Villa CA, Chacon Cardona JA. Hemodialysis catheter implantation in the axillary vein by ultrasound guidance versus palpation or anatomical reference. Int J Nephrol Renovasc Dis. 2013; 6:215-221.
8. Restrepo Valencia CA, Buritica Barragan CM, Arango A. Catheter in the superior vena cava for hemodialysis as a last resort in superior hemithorax. Nefrología 2010; 30: 463-466.
9. Pereira M, Lopez N, Godinho I, Jorge S, Nogueira E, Neves F, Fortes A, Costa AG. Life-saving vascular access in vascular capital exhaustion: single center experience in intra-atrial catheters for hemodialysis. J Bras Nefrol 2017; 39: 36-41.
10. Cesar A. Restrepo V (2012). Unusual Vascular Access for Hemodialysis Therapies, Chronic Kidney Disease, Prof. Monika Gö?z (Ed.), InTech, DOI: 10.5772/25361. Available from: https://www.intechopen.com/books/chronic-kidney-disease/unusual-vascular-access-for-hemodialysis-therapies.
11. Budruddin M, Mohsin N, Amitabh J, Ehab M, Pramod K, Abbas P, Khalil M, Al-Lawati S. Femoral Vein Tunneled Catheters as a Last Resort to Vascular Access: Report of Five Cases and Review of Literature. Renal Failure 2009; 31:320–322.
12. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical practice guideline for acute kidney injury. Kidney Int Suppl, 2012;2:1–138.
13. Huriaux L, Costille P, Quintard H, Journois D, Kellum JA, Rimmelé T. Haemodialysis catheters in the intensive care unit. Anaesth Crit Care Pain Med. 2016 Nov 29. pii: S2352-5568(16):30222-3.
https://doi.org/10.1016/j.accpm.2016.10.003. [Epub ahead ofprint]
14. Pichereau C, Ait-Oufella H, Maury E, Guidet B: Unusual misplacement of a femoral central venous catheter. Intensive Care Med 2011;37: 1714–1715.
15. Arias-Verdu D, Seller-Pérez G, Herrera Gutiérrez M E. Anomalous position of femoral dialysis catheters. Med Intensiva 2017: 41: 262.
16. Reddy M H K, Sangeetha B, Aruna M, Chandra V S, Anil C, Kumar A C V, Ram R, Sivakumar V. Phlegmasia cerulean dolens: complication of femoral vein catheterization. CEN Case Rep 2016; 5:184–187.
17. Sirvent AE, Enriquez R, Millan I, Garci-Marco JM, Rodriguez-Czaplicki E, Redondo-Pachon MD, Gonzales C, Amoros F. Severe hemorrhage because of delayed iliac vein rupture after dialysis catheter placement: is it preventable? Hemodial Int 2012;16: 315-319.
18. Svantner J, Eckert P, Ben?Hamouda N. Rare complication of femoral venous catheter malposition: abdominal compartment síndrome. Intensive Care Med 2017. https://doi.org/10.1007/s00134-017-4893-y
19. Weyde W, Badowski R, Krajewska M, Penar J, Moron K, Klinger M. Femoral and iliac vein stenoses after prolonged femoral vein catheter insertion. Nephrol Dial Transplant. 2004; 6:1618–1621.
20. Zaleski GX, Funaki B, Lorenz JM, Garofalo RS, Moscatel MA, Rosenblumb JD, Leef JA. Experience with tunneled femoral hemodialysis catheters. AJR Am J Roentgenol 1999; 172: 493–496.
21. Chow KM, Szeto CC, Leung CB, Wong TY, Li PK. Cuffed- tunneled femoral catheter for long-term hemodialysis. Int J Artif Organs 2001; 24: 443–446.
22. Falk A. Use of the femoral vein as insertion site for tunneled hemodialysis catheters. J Vasc Interv Radiol. 2007, 18:217-225.
23. Maya ID, Allon M. Outcomes of tunneled femoral hemodialysis catheters: comparison with internal jugular vein catheters. Kidney Int 2005; 68: 2886–2889.
24. Al-Hwiesh AK, Abdul-Rahaman IS. Tunneled femoral vein catheterization for long term hemodialysis: A single centre experience
Saudi J Kidney Dis Transplant. 2007; 18:37–42.