Background: With the
innovative idea of Central Vein Catheter at the end of 80’s, treatment of
hemodialysis patients faced a significant change. Nowadays CVC’s are widely
used and as a result CVC related complications have become important for
surgeons. In this study survival and complications associated with CVC’s have
been studied in End Stage Renal Disease (ESRD) patients referring to
Methods: In this
cross- sectional and descriptive study, all documents of ESRD patients’ that had catheter insertion at Hasheminejad Kidney Center during 2010-11
were included and demographic data, catheter related side effects, site of
catheter, and duration of catheter
utilization were taken from the records
and major catheter related complications, reasons of catheter removal were
obtained by descriptive analyses. We also calculated survival of catheters by
Kaplan-meyer analytic method.
Results: In this
study 150 records
were enrolled with 122 male and 28 female patients, and a mean age of 56±15
years (range of 19-87 yrs). Regression analyses had shown that increasing age
(p=0.003, RR=0.78), Hb (anemia), (p=0.04, RR=0.34), increased BUN (p=0.014,
RR=0.37) and Cr (p=0.023, RR=0.45) levels had significant correlation with the
side-effects. One and two months catheter survival were 88% and 69%,
respectively.
Conclusion: Side effects were not higher than
similar western studies. Studied patients had higher rates of anemia. Catheter
thrombosis was reported as the second and local infection as the first common
side effects. Survival of central vein catheters in
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