HEMODİYALİZDE TÜNELLİ KATETERLER

Aim: In this study, we aimed to evaluate, survival, and early and late complications of indwelling tunneled hemodialysis catheters used in hemodialysis patients. Material and Method: In our clinic, 154 patients catheters were retrospectively analyzed in terms of age, gender, indications for catheter, site of application, reasons for removal and complications between January 2010 and March 2012. Results: insertion causes as follows; 62.3% of patients (n = 96) had failed arteriovenous fistula (AVF) attempts, 24% (n = 37) 37 (24%) had waiting time for AVF maturation, 7.7% (n = 12) had a short life expectancy, 5.8% (n = 9) was because of patient’s preference. Tunelled hemodialysis catheter is inserted; in 83.1% (n = 128) of patients in right internal jugular vein, in 10.3% (n = 16) of patients in left internal jugular vein, in 3.2% (n = 4), 5 (3.2%) was left subclavian vein, 3.2% (n = 5) was femoral vein. catheters survival rate was 86.7% in 1 year follow-up and 82.4% in the second year for 2year follow-up duration. Conclusion: As a result, permanent tunnelled hemodialysis catheters are first preference for vascular access; because of high procedural success possibility of early use after operation, providing dialysis sufficient blood flow, allowing life expectancy is short and transplant candidates and the patient with not suitable vascular structures for AV