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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)467-472
Number of pages6
JournalRadiology
Volume198
Issue number2
StatePublished - Feb 1996

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Renal Dialysis
Catheters
Radiologists
Infection
Air Embolism
Chest Tubes
Life Tables
Pneumothorax
Decompression
Radiology

Keywords

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

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Lund, G. B., Trerotola, S. O., Scheel, P. F., Savader, S. J., Mitchell, S. E., Venbrux, A. C., & Osterman, F. A. (1996). Outcome of tunneled hemodialysis catheters placed by radiologists. Radiology, 198(2), 467-472.

Outcome of tunneled hemodialysis catheters placed by radiologists. / Lund, Gunnar B.; Trerotola, Scott O.; Scheel, Paul F.; Savader, Scott J.; Mitchell, Sally E; Venbrux, Anthony C.; Osterman, Floyd A.

In: Radiology, Vol. 198, No. 2, 02.1996, p. 467-472.

Research output: Contribution to journalArticle

Lund, GB, Trerotola, SO, Scheel, PF, Savader, SJ, Mitchell, SE, Venbrux, AC & Osterman, FA 1996, 'Outcome of tunneled hemodialysis catheters placed by radiologists', Radiology, vol. 198, no. 2, pp. 467-472.
Lund GB, Trerotola SO, Scheel PF, Savader SJ, Mitchell SE, Venbrux AC et al. Outcome of tunneled hemodialysis catheters placed by radiologists. Radiology. 1996 Feb;198(2):467-472.
Lund, Gunnar B. ; Trerotola, Scott O. ; Scheel, Paul F. ; Savader, Scott J. ; Mitchell, Sally E ; Venbrux, Anthony C. ; Osterman, Floyd A. / Outcome of tunneled hemodialysis catheters placed by radiologists. In: Radiology. 1996 ; Vol. 198, No. 2. pp. 467-472.
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