Characteristics of Chronic Kidney Disease Patient Undergoing Regular Hemodialysis with Tunneled Cuffed Catheter Dialysis Access
Keywords:
Characteristic, Chronic Kidney Disease, Dialysis Access, Tunneled Cuffed Catheter
Abstract
Background: Chronic kidney disease (CKD) is one of the leading contributors to morbidity and mortality rates worldwide, where end-stage patients require dialysis. Dialysis requires access, and tunneled cuffed catheters (TCCs) are considered a viable option.
Objective: This study aims to describe the characteristics of the CKD patients with TCCs dialysis access at Rasyida Kidney Hospital.
Methods: This descriptive study with a cross-sectional design was conducted based on patients' medical records. Total sampling was used as the sampling technique.
Results: A total of 96 patients with TCC dialysis access were identified at Rasyida Kidney Hospital from January 2021 to 2024. Most patients were aged 61-75 years (39.6%), female (63.7%), and had hypertension as a comorbidity (53.8%). Additionally, 67% had a history of non-tunneled cuffed catheter access, 70.3% had the right internal jugular vein as the insertion site, and 53.8% had the indication of failed AV fistula. The duration of TCC use was more than 12 months for 65.9% of patients, and catheter thrombosis occurred in 13.2% of cases.
Conclusion: The characteristics of CKD patients with TCC dialysis access at Rasyida Kidney Hospital in Medan include individuals aged 61-75 years, female, with a history of hypertension and non-tunneled cuffed catheter access, an insertion site at the right internal jugular vein, failed AV fistula as the primary indication, catheter usage for more than 12 months, and the most occurred complication is catheter thrombosis.
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References
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Vaidya S, Karmacharya RM, Bhatt S, Bhandari N, Duwal S, Karki YD, et al. Placement of cuffed tunnelled permanent hemodialysis catheter in patients with end stage renal disease: A cross sectional study. Ann Med Surg. 2022;76:103452. doi:10.1016/j.amsu.2022.103452
Hamid RS, Kakaria AK, Khan SA, Mohammed S, Al-Sukaiti R, Al-Riyami D, et al. Safety and complications of double-lumen tunnelled cuffed central venous dialysis catheters: Clinical and radiological perspective from a tertiary centre in Oman. Sultan Qaboos Univ Med J. 2015;15(4):e501-6. doi:10.18295/squmj.2015.15.04.010
Miller LM, MacRae JM, Kiaii M, Clark E, Dipchand C, Kappel J, et al. Hemodialysis tunneled catheter noninfectious complications. Can J Kidney Heal Dis. 2016;3:2054358116669130. doi:10.1177/2054358116669130
Al-Balas A, Almehmi A, Varma R, Al-Balas H, Allon M. De novo central vein stenosis in hemodialysis patients following initial tunneled central vein catheter placement. Kidney360. 2021;3(1):99–102. doi:10.34067/kid.0005202021
Chen TK, Knicely DH, Grams ME. Chronic kidney disease diagnosis and management: A review. JAMA. 2019;322(13):1294–1304. doi:10.1001/jama.2019.14745
Munira SL, Puspasari D, Trihono, Thaha R, Musadad A, Junadi P, et al. Survei Kesehatan Indonesia (SKI) Dalam Angka Data Akurat Kebijakan Tepat. Indonesia; 2023.
Eknoyan G, Lameire N, Winkelmayer WC. Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int. 2024;105(4S):S117–314. doi:10.1016/j.kint.2023.10.018
Vachharajani TJ, Taliercio JJ, Anvari E. New devices and technologies for hemodialysis vascular access: A review. Am J Kidney Dis. 2021;78(1):116–124. doi:10.1053/j.ajkd.2020.11.027
Yeh LM, Chiu SYH, Lai PC. The impact of vascular access types on hemodialysis patient long-term survival. Sci Rep. 2019;9:10708. doi:10.1038/s41598-019-47065-z
Arasu R, Jegatheesan D, Sivakumaran Y. Overview of hemodialysis access and assessment. Can Fam Physician. 2022;68(8):577–582. doi:10.46747/cfp.6808577
Lok CE, Huber TS, Lee T, Shenoy S, Yevzlin AS, Abreo K, et al. KDOQI clinical practice guideline for vascular access : 2019 update. Am J K. 2020;75(4 Suppl 2):S1–164. doi:10.1053/j.ajkd.2019.12.001
Jhee JH, Hwang SD, Song JH, Lee SW. The impact of comorbidity burden on the association between vascular access type and clinical outcomes among elderly patients undergoing hemodialysis. Sci Rep. 2019;9(1):18156. doi:10.1038/s41598-019-54191-1
Clark E, Kappel J, MacRae J, Dipchand C, Hiremath S, Kiaii M, et al. Practical aspects of nontunneled and tunneled hemodialysis catheters. Can J Kidney Heal Dis. 2016;3:2054358116669128. doi:10.1177/2054358116669128
Okamoto T, Sakurada T, Koitabashi K, Shibagaki Y. Changes to indications for tunneled cuffed catheter use in hemodialysis patients: A single-center experience. Hemodial Int. 2018;22(S2):S3–9. doi:10.1111/hdi.12697
Shreshtha KR, Gurung D, Shreshta KU. Outcome of cuffed tunneled dialysis catheters for hemodialysis patients at a tertiary care hospital: A descriptive cross-sectional study. JNMA J Nepal Med Assoc. 2020;58(226):390–5. doi:10.31729/jnma.4795
Sharma M, Tong WL, Thompson D, Vachharajani TJ. Placing an appropriate tunneled dialysis catheter in an appropriate patient including the nonconventional sites. Cardiovasc Diagn Ther. 2023;13(1):281–90. doi:10.21037/cdt-22-426
Sadhukhan S, Raychaudhury A, Pal A, Bhattacharjee K, Sen D. Outcome of tunneled cuffed catheter as hemodialysis access ; A single centre experience in a tertiary centre in Eastern India. Kidney Int Reports. 2023;8(3):S304–5. doi:10.1016/j.ekir.2023.02.683
Chan SM, Weininger G, Langford J, Jane-Wit D, Dardik A. Sex differences in inflammation during venous remodeling of arteriovenous fistulae. Front Cardiovasc Med. 2021;8:715114. doi:10.3389/fcvm.2021.715114
Vergara-Pérez H, Alba AP, Baliño P, Peris AR, Reque J. Is there gender disparity in vascular access for hemodialysis with new percutaneous systems? A systematic review. Kidney Dial. 2024;4(3):163–171. doi:10.3390/kidneydial4030014
Bialobrzeska B. Tunneled catheter care in hemodialysis Gdańsk experiences. Ren Dis Transplant Forum. 2023;16(2):55–63. doi:10.5603/rdtf.2023.0014
Afiatin. 13th Annual Report of Indonesian Renal Registry 2020 [Internet]. Bandung; 2023. Available from: http://www.indonesianrenalregistry.org
Frykholm P, Pikwer A, Hammarskjöld F, Larsson AT, Lindgren S, Lindwall R, et al. Clinical guidelines on central venous catheterisation. Acta Anaesthesiol Scand. 2014;58(5):508–524. doi:10.1111/aas.12295
Banerjee S, Engineer D, Hirpara J, Shah N, Dave R, Sil K, et al. Dialysis vascular access: Where do tunneled catheters stand? – A single-center experience. Indian J Nephrol. 2021;31(3):235–9. doi:10.4103/ijn.ijn_266_19
Yaqub S, Razzaque MRA, Aftab A, Siddiqui NA. Outcomes of tunneled cuffed hemodialysis catheters: An experience from a tertiary care center in Karachi, Pakistan. J Vasc Access. 2022;23(2):275–279. doi:10.1177/1129729821989904
Yardımcı MM, Güven C. Cuffed-tunneled catheters in hemodialysis patients: problems and solution methods: A single-center retrospective cohort study. J Surg Med. 2023;7(4):265–70. doi:10.28982/josam.7604.
Hu J, Mei G, Tong C, Gao C, Zhang J. Survival analysis of tunneled cuffed central venous catheters in maintenance hemodialysis patients: A retrospective study in China. Int J Clin Pr. 2022;6809670. doi:10.1155/2022/6809670
Khudari H El, Ozen M, Kowalczyk B, Bassuner J, Almehmi A. Hemodialysis catheters: Update on types, outcomes, designs and complications. Semin Interv Radiol. 2022;39(1):90–102. doi:10.1055/s-0042-1742346.
Vaidya S, Karmacharya RM, Bhatt S, Bhandari N, Duwal S, Karki YD, et al. Placement of cuffed tunnelled permanent hemodialysis catheter in patients with end stage renal disease: A cross sectional study. Ann Med Surg. 2022;76:103452. doi:10.1016/j.amsu.2022.103452
Hamid RS, Kakaria AK, Khan SA, Mohammed S, Al-Sukaiti R, Al-Riyami D, et al. Safety and complications of double-lumen tunnelled cuffed central venous dialysis catheters: Clinical and radiological perspective from a tertiary centre in Oman. Sultan Qaboos Univ Med J. 2015;15(4):e501-6. doi:10.18295/squmj.2015.15.04.010
Miller LM, MacRae JM, Kiaii M, Clark E, Dipchand C, Kappel J, et al. Hemodialysis tunneled catheter noninfectious complications. Can J Kidney Heal Dis. 2016;3:2054358116669130. doi:10.1177/2054358116669130
Al-Balas A, Almehmi A, Varma R, Al-Balas H, Allon M. De novo central vein stenosis in hemodialysis patients following initial tunneled central vein catheter placement. Kidney360. 2021;3(1):99–102. doi:10.34067/kid.0005202021
Published
2025-04-24
How to Cite
1.
Sihombing N, Nasution B. Characteristics of Chronic Kidney Disease Patient Undergoing Regular Hemodialysis with Tunneled Cuffed Catheter Dialysis Access. inakidney [Internet]. 24Apr.2025 [cited 16May2025];2(1):4-1. Available from: https://inakidneyhypertension.co.id/index.php/inakidney/article/view/162
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