Abstract
Central venous catheters are being increasingly used as hemodialysis vascular access. We evaluated catheter survival, outcome predictors, and complications in a total of 36 catheters used in 13 children and young adults undergoing chronic maintenance hemodialysis through catheter for a duration of 10.4±5.6 months. Reasons for catheter failure were: thrombosis 12 of 36 (33%), infection 6 of 36 (17%), and extrusion 2 of 36 (5.4%). Catheters were lost to infection and thrombosis at 1.1 and 2.2 episodes per 1,000 catheter days, respectively. Symptomatic infections, Gram-negative and polymicrobial sepsis increased the risk of catheter failure. Most of the thrombotic episodes occurred in patients with inherent thrombotic tendency. The survival of the 36 catheters was 62% at 1 year. The survival of 13 randomly chosen catheters, 1 from each patient, was 85% at 1 year. The time from insertion to first complication correlated significantly with the outcome (P<0.03). We conclude that central venous catheters are still associated with a high rate of failure and may be a regular access choice only in a selected patient population with no inherent thrombotic tendency and no other option available for long-term hemodialysis.
Similar content being viewed by others
Author information
Authors and Affiliations
Additional information
Received: 21 July 1997 / Revised: 20 July 1998 / Accepted: 22 July 1998
Rights and permissions
About this article
Cite this article
Sharma, A., Zilleruelo, G., Abitbol, C. et al. Survival and complications of cuffed catheters in children on chronic hemodialysis. Pediatr Nephrol 13, 245–248 (1999). https://doi.org/10.1007/s004670050602
Issue Date:
DOI: https://doi.org/10.1007/s004670050602