Abstract No. 29 Tunneled Dialysis Catheter Placement within Intensive Care Unit (ICU) Patients: Influence of Catheter Tip Design on Clinical Performance
نویسندگان
چکیده
Tunneled dialysis catheter tip design may affect freedom from dysfunction and/or infection; improved performance within a critical care setting reduce costs and need for guidewire exchange or removal. This study compared rates of failure between symmetrical, helical-tip (VectorFlow) with conventional split-tip (Ash-Split) among ICU patients undergoing tunneled placement. A retrospective database identified total 1734 catheters placed at an academic institution over 7-year period. Of these, 340 (19.6%) were patients, which included VectorFlow (n = 112, 32.9%) Ash-Split 228, 67.1%) catheters. Rates requiring removal composite outcome malfunction infection Kaplan-Meier estimates, covariates potentially influencing assessed Cox proportional hazards modeling. Catheter occurred 90 days in 34.8 ± 3.4% patients. Among catheters, primary unassisted patency 30, 60, 180 was 87.4 3.6%, 78.0 5.1%, 75.1 5.0% 60.1 8.2% 75.0 3.3%, 62.8 4.1%, 60.7 4.2% 44.3 5.5% (P 0.022). modeling body mass index, patient age, sex, left jugular (vs. right) placement indication (initiation hemodialysis access vs. failed surgical arteriovenous access) showed no effect on patency; had hazard ratio 1.72 times higher than 0.024) univariate 1.81 multivariate 0.017). The associated significantly the independent multiple clinical anatomic factors. These data support VectorFlow-first strategy this population.
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ژورنال
عنوان ژورنال: Journal of Vascular and Interventional Radiology
سال: 2023
ISSN: ['1535-7732', '1051-0443']
DOI: https://doi.org/10.1016/j.jvir.2022.12.070