Research Article
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ULTRASONOGRAFİ EŞLİĞİNDE TAKILAN HEMODİYALİZ KATETER UYGULAMASININ AKUT KOMPLİKASYONLARI

Year 2019, Volume: 5 Issue: 2, 119 - 127, 27.06.2019

Abstract



Bu çalışmada, ultrasonografi eşliğinde takılan geçici hemodiyaliz kateterlerinin akut komplikasyonlarını değerlendirmeyi amaçladık. Çalışma, Haziran 2016- Nisan 2018 tarihleri arasında kliniğimize başvuran akut ya da kronik böbrek yetmezliği olan, hemodiyaliz endikasyonu konulan hastalara takılan geçici hemodiyaliz kateterlerinin, akut komplikasyonlarının değerlendirildiği retrospektif bir araştırmadır.  Geçici hemodiyaliz kataterlerin hepsi ultrasonografi eşliğinde kliniğimizdeki katater odasında, nefrologlar tarafından takıldı. Çalışma grubu 111 hastadan oluştu. Veriler SPSS programında değerlendirildi. Çalışma grubunun 51’i (%45.9) erkek, 60’ı (%54.1) kadındı. Çalışma grubunun 68’ine (%61.3) sağ juguler venden, 35’ine (%31.5) sol juguler venden ve 8’ine (%7.2) ise femoral venden geçici hemodiyaliz kateteri takıldı. Çalışmada akut komplikasyon olarak 3 (%2.7) vakada lokal hematom saptandı. Çalışmamızda hiçbir vakada ciddi bir komplikasyona rastlamadık. Bunda komplikasyonların daha sık rastlandığı subklavian damara kateter takılmamış olması ve tüm kateterlerin ultrasonografi eşliğinde takılmasının etkisi olduğu düşünüyoruz.  Ultrasonografi eşliğinde takılan kateterler de hem komlikasyon daha az görülmekte hem de kısa sürede takılması nedeni ile işlemi yapan hekime zaman kazandırmaktadır.

References

  • KAYNAKLAR1. Vats HS. Complications of catheters: tunneled and nontunneled. Advances in chronic kidney disease. 2012;19(3):188-94.2. Sznajder JI, Zveibil FR, Bitterman H, Weiner P, Bursztein S. Central vein catheterization: failure and complication rates by three percutaneous approaches. Archives of internal medicine. 1986;146(2):259-61.3. Gibson S, Mosquera D. Five years experience with the Quinton Permcath for vascular access. Nephrology Dialysis Transplantation. 1991;6(4):269-74.4. Rabindranath KS, Kumar E, Shail R, Vaux E. Use of real-time ultrasound guidance for the placement of hemodialysis catheters: a systematic review and meta-analysis of randomized controlled trials. American Journal of Kidney Diseases. 2011;58(6):964-70.5. Lin B-S, Huang T-P, Tang G-J, Tarng D-C, Kong C-W. Ultrasound-guided cannulation of the internal jugular vein for dialysis vascular access in uremic patients. Nephron. 1998;78(4):423-8.6. Bansal R, Agarwal S, Tiwari S, Dash S. A prospective randomized study to compare ultrasound-guided with nonultrasound-guided double lumen internal jugular catheter insertion as a temporary hemodialysis access. Renal failure. 2005;27(5):561-4.7. Koroglu M, Demi˙ r M, Koroglu B, Sezer M, Akhan O, Yi˙ ldi˙ z H, et al. Percutaneous placement of central venous catheters: comparing the anatomical landmark method with the radiologically guided technique for central venous catheterization through the internal jugular vein in emergent hemodialysis patients. Acta Radiologica. 2006;47(1):43-7.8. Prabhu MV, Juneja D, Gopal PB, Sathyanarayanan M, Subhramanyam S, Gandhe S. Ultrasound-guided femoral dialysis access placement: a single-center randomized trial. Clinical Journal of the American Society of Nephrology. 2010;5(2):235-9.9. Clark EG, Barsuk JH. Temporary hemodialysis catheters: recent advances. Kidney international. 2014;86(5):888-95.10. Bhutta ST, Culp WC. Evaluation and management of central venous access complications. Techniques in vascular and interventional radiology. 2011;14(4):217-24.11. Farrell J, Walshe J, Gellens M, Martin KJ. Complications associated with insertion of jugular venous catheters for hemodialysis: the value of postprocedural radiograph. American journal of kidney diseases. 1997;30(5):690-2.12. Napalkov P, Felici DM, Chu LK, Jacobs JR, Begelman SM. Incidence of catheter-related complications in patients with central venous or hemodialysis catheters: a health care claims database analysis. BMC cardiovascular disorders. 2013;13(1):86.13. Bander S, Schwab S, Woo K. Central catheters for acute and chronic hemodialysis access. UpToDate https://www uptodate com/contents/central-catheters-for-acute-and-chronic-hemodialysis. 2017.14. Raja RM, Fernandes M, Kramer MS, Barber K, Rosenbaum JL. Comparison of Subdavian Vein With Femoral Vein Catheterization for Hemodialysis. American Journal of Kidney Diseases. 1983;2(4):474-6.15. Danış R, Özmen Ş, Akın D, Yazanel O. Hemodiyaliz kateterlerinin komplikasyonları ve genel yaklaşım. Turkiye Klinikleri Journal of Medical Sciences. 2007;27(5):701-10.16. Khwaja A. KDIGO clinical practice guidelines for acute kidney injury. Nephron Clinical Practice. 2012;120(4):c179-c84.
Year 2019, Volume: 5 Issue: 2, 119 - 127, 27.06.2019

Abstract

References

  • KAYNAKLAR1. Vats HS. Complications of catheters: tunneled and nontunneled. Advances in chronic kidney disease. 2012;19(3):188-94.2. Sznajder JI, Zveibil FR, Bitterman H, Weiner P, Bursztein S. Central vein catheterization: failure and complication rates by three percutaneous approaches. Archives of internal medicine. 1986;146(2):259-61.3. Gibson S, Mosquera D. Five years experience with the Quinton Permcath for vascular access. Nephrology Dialysis Transplantation. 1991;6(4):269-74.4. Rabindranath KS, Kumar E, Shail R, Vaux E. Use of real-time ultrasound guidance for the placement of hemodialysis catheters: a systematic review and meta-analysis of randomized controlled trials. American Journal of Kidney Diseases. 2011;58(6):964-70.5. Lin B-S, Huang T-P, Tang G-J, Tarng D-C, Kong C-W. Ultrasound-guided cannulation of the internal jugular vein for dialysis vascular access in uremic patients. Nephron. 1998;78(4):423-8.6. Bansal R, Agarwal S, Tiwari S, Dash S. A prospective randomized study to compare ultrasound-guided with nonultrasound-guided double lumen internal jugular catheter insertion as a temporary hemodialysis access. Renal failure. 2005;27(5):561-4.7. Koroglu M, Demi˙ r M, Koroglu B, Sezer M, Akhan O, Yi˙ ldi˙ z H, et al. Percutaneous placement of central venous catheters: comparing the anatomical landmark method with the radiologically guided technique for central venous catheterization through the internal jugular vein in emergent hemodialysis patients. Acta Radiologica. 2006;47(1):43-7.8. Prabhu MV, Juneja D, Gopal PB, Sathyanarayanan M, Subhramanyam S, Gandhe S. Ultrasound-guided femoral dialysis access placement: a single-center randomized trial. Clinical Journal of the American Society of Nephrology. 2010;5(2):235-9.9. Clark EG, Barsuk JH. Temporary hemodialysis catheters: recent advances. Kidney international. 2014;86(5):888-95.10. Bhutta ST, Culp WC. Evaluation and management of central venous access complications. Techniques in vascular and interventional radiology. 2011;14(4):217-24.11. Farrell J, Walshe J, Gellens M, Martin KJ. Complications associated with insertion of jugular venous catheters for hemodialysis: the value of postprocedural radiograph. American journal of kidney diseases. 1997;30(5):690-2.12. Napalkov P, Felici DM, Chu LK, Jacobs JR, Begelman SM. Incidence of catheter-related complications in patients with central venous or hemodialysis catheters: a health care claims database analysis. BMC cardiovascular disorders. 2013;13(1):86.13. Bander S, Schwab S, Woo K. Central catheters for acute and chronic hemodialysis access. UpToDate https://www uptodate com/contents/central-catheters-for-acute-and-chronic-hemodialysis. 2017.14. Raja RM, Fernandes M, Kramer MS, Barber K, Rosenbaum JL. Comparison of Subdavian Vein With Femoral Vein Catheterization for Hemodialysis. American Journal of Kidney Diseases. 1983;2(4):474-6.15. Danış R, Özmen Ş, Akın D, Yazanel O. Hemodiyaliz kateterlerinin komplikasyonları ve genel yaklaşım. Turkiye Klinikleri Journal of Medical Sciences. 2007;27(5):701-10.16. Khwaja A. KDIGO clinical practice guidelines for acute kidney injury. Nephron Clinical Practice. 2012;120(4):c179-c84.
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Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Ali Bakan 0000-0002-6192-0973

Berrak Sahtiyancı This is me 0000-0002-6219-9321

Recep Demirci 0000-0001-5609-9634

İrem Kıraç Utku 0000-0003-3806-5291

İskender Ekinci This is me 0000-0001-7390-9301

Ömür Tabak This is me 0000-0001-8848-4561

Abdulbaki Kumbasar This is me 0000-0001-7466-9434

Publication Date June 27, 2019
Published in Issue Year 2019 Volume: 5 Issue: 2

Cite

APA Bakan, A., Sahtiyancı, B., Demirci, R., Utku, İ. K., et al. (2019). ULTRASONOGRAFİ EŞLİĞİNDE TAKILAN HEMODİYALİZ KATETER UYGULAMASININ AKUT KOMPLİKASYONLARI. International Anatolia Academic Online Journal Health Sciences, 5(2), 119-127.

International Anatolia Academic Online Journal Health Sciences