Evaluation outcomes of temporary hemodialysis catheter implantation as long as permanent access prepared in patients with chronic hemodialysis in Gorgan-Iran ۲۰۲۱: A cross-sectional study.

Nowadays, the number of people who requires chronic hemodialysis has increased, and providing a suitable access method for these patients has become one of the main tasks of vascular surgeons. Arteriovenous fistulas are the best access method for hemodialysis; however, they require an average interval of two months from the implantation to the time of use. Several scientific sources recommend tunnels in this time frame for hemodialysis and advocate temporary catheters for fewer than two weeks, expected to sanctions, and economic and equipment limitations, in some cases, we have had to rely on temporary catheters until the arteriovenous fistula is able to use. Evaluation outcomes of temporary hemodialysis catheter implantation as long as permanent access prepared in patients with chronic hemodialysis. This cross-sectional study was conducted in ۵th Azar and Sayad Shirazi hospitals in Gorgan, Iran, on ۷۴ dialysis patients implanted with a temporary jugular dialysis catheter during arteriovenous fistula implantation. The patients followed up until their fistulas matured, then the function of the temporary dialysis catheter and the need for re-catheterization were investigated. Outcomes were collected prospectively and analyzed by appropriate statistical tests. ۳۹ (۵۲.۷%) of the studied subjects were female, ۳۵ (۴۷.۳%) were male. The average age of the subjects studied was ۵۳.۰۳ ± ۱۴.۷۹ years. The duration of the temporary dialysis catheter, Temporary Jugular catheter, in the studied patients was ۴۶.۴۱ ± ۱۷.۱۳ days. The longest duration of operation was ۷۸ days. ۴۷ of the investigated cases (۶۳.۵%) were still working appropriately at the time of arteriovenous fistula maturation. Although the duration of using temporary dialysis catheters reported to be limited in studies, it is possible to increase time of using them in patients depending on the conditions and considering some factors. In communities with limited financial resources in the healthcare system and unable to provide permanent catheters based on considerations, this can be a considerable temporary alternative procedure.

Keywords:

Chronic hemodialysis , Catheter implantation , Permanent access , Fistula maturation , Temporary catheter