Outcome of tunneled hemodialysis catheters placed by radiologists

Gunnar B. Lund; Scott O. Trerotola; Paul F. Scheel; Scott J. Savader; Sally E. Mitchell; Anthony C. Venbrux; Floyd A. Osterman

doi:10.1148/radiology.198.2.8596851

Outcome of tunneled hemodialysis catheters placed by radiologists

Gunnar B. Lund, Scott O. Trerotola, Paul F. Scheel, Scott J. Savader, Sally E. Mitchell, Anthony C. Venbrux, Floyd A. Osterman

All Children's Hospital

Research output: Contribution to journal › Article › peer-review

177 Scopus citations

Abstract

PURPOSE: To compare the outcomes of hemodialysis catheters placed by interventional radiologists with those placed by surgeons. MATERIALS AND METHODS: The outcomes were retrospectively analyzed of 237 hemodialysis catheters placed in 140 patients by a radiology service from January 1991 through December 1992. Follow-up data were available for 222 catheters (94%). Catheter secondary patency and freedom from infection were analyzed statistically and by means of life-table analysis. RESULTS: Pneumothorax occurred after the placement of six catheters (2.5%); in two patients, a chest tube was required for decompression. Other short-term complications included air embolism with no clinical sequelae (two procedures) and prolonged oozing from the tunnel (two procedures). Long-term complications included infection and catheter failure. Infection occurred in 26 patients (18%) with 32 catheters (14%) and resulted in removal of 25 catheters. Ninety-three catheters (42%) failed, and 63 catheters (28%) were removed because of failure. CONCLUSION: Hemodialysis catheters placed by radiologists do not have a higher rate of complications or failure than catheters placed by surgeons.

Original language	English (US)
Pages (from-to)	467-472
Number of pages	6
Journal	RADIOLOGY
Volume	198
Issue number	2
DOIs	https://doi.org/10.1148/radiology.198.2.8596851
State	Published - Feb 1996

Keywords

Catheters and catheterization, central venous access
Catheters and catheterization, complications
Dialysis

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1148/radiology.198.2.8596851

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title = "Outcome of tunneled hemodialysis catheters placed by radiologists",

abstract = "PURPOSE: To compare the outcomes of hemodialysis catheters placed by interventional radiologists with those placed by surgeons. MATERIALS AND METHODS: The outcomes were retrospectively analyzed of 237 hemodialysis catheters placed in 140 patients by a radiology service from January 1991 through December 1992. Follow-up data were available for 222 catheters (94%). Catheter secondary patency and freedom from infection were analyzed statistically and by means of life-table analysis. RESULTS: Pneumothorax occurred after the placement of six catheters (2.5%); in two patients, a chest tube was required for decompression. Other short-term complications included air embolism with no clinical sequelae (two procedures) and prolonged oozing from the tunnel (two procedures). Long-term complications included infection and catheter failure. Infection occurred in 26 patients (18%) with 32 catheters (14%) and resulted in removal of 25 catheters. Ninety-three catheters (42%) failed, and 63 catheters (28%) were removed because of failure. CONCLUSION: Hemodialysis catheters placed by radiologists do not have a higher rate of complications or failure than catheters placed by surgeons.",

keywords = "Catheters and catheterization, central venous access, Catheters and catheterization, complications, Dialysis",

author = "Lund, {Gunnar B.} and Trerotola, {Scott O.} and Scheel, {Paul F.} and Savader, {Scott J.} and Mitchell, {Sally E.} and Venbrux, {Anthony C.} and Osterman, {Floyd A.}",

year = "1996",

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language = "English (US)",

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T1 - Outcome of tunneled hemodialysis catheters placed by radiologists

AU - Lund, Gunnar B.

AU - Trerotola, Scott O.

AU - Scheel, Paul F.

AU - Savader, Scott J.

AU - Mitchell, Sally E.

AU - Venbrux, Anthony C.

AU - Osterman, Floyd A.

PY - 1996/2

Y1 - 1996/2

N2 - PURPOSE: To compare the outcomes of hemodialysis catheters placed by interventional radiologists with those placed by surgeons. MATERIALS AND METHODS: The outcomes were retrospectively analyzed of 237 hemodialysis catheters placed in 140 patients by a radiology service from January 1991 through December 1992. Follow-up data were available for 222 catheters (94%). Catheter secondary patency and freedom from infection were analyzed statistically and by means of life-table analysis. RESULTS: Pneumothorax occurred after the placement of six catheters (2.5%); in two patients, a chest tube was required for decompression. Other short-term complications included air embolism with no clinical sequelae (two procedures) and prolonged oozing from the tunnel (two procedures). Long-term complications included infection and catheter failure. Infection occurred in 26 patients (18%) with 32 catheters (14%) and resulted in removal of 25 catheters. Ninety-three catheters (42%) failed, and 63 catheters (28%) were removed because of failure. CONCLUSION: Hemodialysis catheters placed by radiologists do not have a higher rate of complications or failure than catheters placed by surgeons.

AB - PURPOSE: To compare the outcomes of hemodialysis catheters placed by interventional radiologists with those placed by surgeons. MATERIALS AND METHODS: The outcomes were retrospectively analyzed of 237 hemodialysis catheters placed in 140 patients by a radiology service from January 1991 through December 1992. Follow-up data were available for 222 catheters (94%). Catheter secondary patency and freedom from infection were analyzed statistically and by means of life-table analysis. RESULTS: Pneumothorax occurred after the placement of six catheters (2.5%); in two patients, a chest tube was required for decompression. Other short-term complications included air embolism with no clinical sequelae (two procedures) and prolonged oozing from the tunnel (two procedures). Long-term complications included infection and catheter failure. Infection occurred in 26 patients (18%) with 32 catheters (14%) and resulted in removal of 25 catheters. Ninety-three catheters (42%) failed, and 63 catheters (28%) were removed because of failure. CONCLUSION: Hemodialysis catheters placed by radiologists do not have a higher rate of complications or failure than catheters placed by surgeons.

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KW - Catheters and catheterization, complications

KW - Dialysis

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Outcome of tunneled hemodialysis catheters placed by radiologists

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