Comparison of supraclavicular brachiocephalic and femoral vein approaches for tunneled dialysis catheter placement in patients with thrombosed internal jugular veins

dc.authorscopusid57218616691
dc.authorscopusid35264304200
dc.authorscopusid58634735800
dc.authorscopusid57395308100
dc.authorscopusid58634499800
dc.contributor.authorOguslu,U.
dc.contributor.authorGümüş,B.
dc.contributor.authorYalçin,M.
dc.contributor.authorSahin,O.Z.
dc.contributor.authorYilmaz,G.
dc.date.accessioned2024-05-25T12:19:18Z
dc.date.available2024-05-25T12:19:18Z
dc.date.issued2024
dc.departmentOkan Universityen_US
dc.department-tempOguslu U., Department of Radiology, Biruni University Faculty of Medicine, Istanbul, Turkey; Gümüş B., Department of Radiology, Medicana Health Group, Istanbul, Turkey; Yalçin M., Department of Cardiology, Medicana Health Group, Istanbul, Turkey; Sahin O.Z., Department of Nephrology, Okan University Hospital, Istanbul, Turkey; Yilmaz G., Department of Radiology, Bahçelievler Public Hospital, Istanbul, Turkeyen_US
dc.description.abstractIntroduction: There is still debate on the best access route in case of bilateral internal jugular vein thrombosis. We aimed to compare the safety, effectiveness, and outcomes of tunneled dialysis catheter placement via supraclavicular brachiocephalic and femoral vein approaches in patients with bilateral internal jugular vein thrombosis. Methods: Between January 2018 and December 2021, data of the patients in whom tunneled dialysis catheters were placed via the supraclavicular brachiocephalic vein (n = 42) and femoral vein (n = 57) approaches were extracted. Patient demographics, technical and clinical success rates, complications, and outcomes were noted. The Likert scale was used to assess patient satisfaction. Findings: Forty two (42.4%) patients were men, and the mean age was 61.9 (range, 12–93) years. The technical and clinical success rate was 100% for both groups. No major complication was encountered. The mean follow-up period was 497.5 (range, 32–1698) catheter days. Thirty-day patency was similar for the brachiocephalic vein and femoral vein group (40 [95.2%] vs. 55 [96.5%], p = 0.754). Also, primary and cumulative patency rates were comparable (p = 0.158; p = 0.660). The infection rate was 2.6 and 4.1 per 1000 catheter days for the brachiocephalic vein and femoral vein group. The infection-free survival was significantly higher in the brachiocephalic vein group (71.9% vs. 35.3% at 12 months, p < 0.001). Patient satisfaction was higher in the brachiocephalic vein group (median satisfaction, 5 vs. 4, p < 0.001). Discussion: Both supraclavicular brachiocephalic vein and femoral vein approaches have high technical and clinical success with comparable patency rates. However, low infection rate and high patient satisfaction make the supraclavicular brachiocephalic vein approach a reasonable alternative before proceeding to the femoral vein access. © 2023 International Society for Hemodialysis.en_US
dc.identifier.citation0
dc.identifier.doi10.1111/hdi.13117
dc.identifier.endpage31en_US
dc.identifier.issn1492-7535
dc.identifier.issue1en_US
dc.identifier.pmidPubMed:37798865
dc.identifier.scopus2-s2.0-85173438338
dc.identifier.scopusqualityQ3
dc.identifier.startpage24en_US
dc.identifier.urihttps://doi.org/10.1111/hdi.13117
dc.identifier.urihttps://hdl.handle.net/20.500.14517/1764
dc.identifier.volume28en_US
dc.identifier.wosqualityQ4
dc.language.isoenen_US
dc.publisherJohn Wiley and Sons Incen_US
dc.relation.ispartofHemodialysis Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectbilateral internal jugular vein thrombosisen_US
dc.subjectbrachiocephalic veinen_US
dc.subjecthemodialysisen_US
dc.subjecttunneled dialysis catheteren_US
dc.titleComparison of supraclavicular brachiocephalic and femoral vein approaches for tunneled dialysis catheter placement in patients with thrombosed internal jugular veinsen_US
dc.typeArticleen_US
dspace.entity.typePublication

Files