High incidence of large bore temporary hemodialysis catheter malfunction in patients with COVID-19 related kidney injury
To evaluate the incidence of large bore hemodialysis catheter malfunction in the setting of COVID-19. A retrospective review was performed of all patients who underwent placement of a temporary hemodialysis catheter after developing kidney injury after COVID-19 infection at our institution. Data col...
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Published in | The journal of vascular access p. 11297298211067332 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.09.2023
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Subjects | |
Online Access | Get more information |
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Summary: | To evaluate the incidence of large bore hemodialysis catheter malfunction in the setting of COVID-19.
A retrospective review was performed of all patients who underwent placement of a temporary hemodialysis catheter after developing kidney injury after COVID-19 infection at our institution. Data collected included demographic information, procedure related information, and incidence of replacement due to lumen thrombosis. Groups were compared using students
-test for continuous variables and Fisher's exact test for nominal variables.
Sixty-four patients (43M, mean age 63.2 ± 13.3) underwent placement of temporary hemodialysis catheter placement for kidney injury related to COVID 19 infection. Thirty-one (48.4%) of catheters were placed via an internal jugular vein (IJV) access and 33 (52.6%) of catheters were placed via a common femoral vein (CFV) access. Overall, 15 (23.4%) catheters required replacement due to catheter dysfunction. There were no differences in demographics in patients who required replacement to those who did not (
> 0.05). Of the replacements, 5/31 (16%) were placed via an IJV access and 10/33 (30.3%) were placed via a CFV access (
= 0.18). The average time to malfunction/replacement was 7.8 ± 4.8 days for catheters placed via an IJ access versus 3.4 ± 3.3 days for catheters placed via a CFV access (
= 0.055).
A high incidence of temporary dialysis catheter lumen dysfunction was present in patients with COVID-19 infection. Catheters placed via a femoral vein access had more frequent dysfunction with shorter indwelling time. |
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ISSN: | 1724-6032 |
DOI: | 10.1177/11297298211067332 |