Placing of the Provisional Hemodialysis Catheters with the Guidence of Doppler Ultrasonography: Early and Late Outcomes

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Objective: Placing of the temporary hemodialysis catheters in the patients with renal failure disease is a commonly used practice. In this study, we aimed to present our experiences on placing of temporary hemodialysis catheters with the guidance of doppler ultrasonography. Material and Methods: In our cardiovascular surgery clinic, between January 2010 and January 2012, 270 patients who were inserted temporary hemodyalysis catheter, were screened retrospectively for their age, sex, catheter insertion indication, insertion site, removing reasons and complications. Results: Temporary hemodyalysis catheters were used in 270 patients with renal failure disease at 320 times. Right internal jugular vein (IJV) was the most common insertion site as in 240 patients. In 11 cases, early complications were developed and in 30 cases, late complications were seen. The most commonly seen complication was catheter dysfunction. Conclusion: Usage of temporary hemodyalysis catheters may result in increased rate of some early and late complications. Insertion, guided with doppler ultrasonography has gained importance in preventing early complications. On the other hand, in patients with renal failure disease requiring hemodyalysis, early creation of permanent vascular access site is the most important issue for preventing late complications.

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Hemodyalysis , temporary catheter , doppler ultrasonography

Kocatepe Medical Journal

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Kocatepe Medical Journal