Tunnelled dialysis catheters (TDCs) are being increasingly inserted by nephrologists globally but there is limited experience and paucity of published outcomes data from South-East Asia (SEA). This study was conducted to analyse the outcomes of TDC insertion by nephrologists from a single centre in SEA.
All patients who underwent TDC insertion by nephrologists from October 2013 to June 2016 were included. TDC survival was calculated using Kaplan-Meier survival method. Impact of variables was assessed using Cox proportional hazards model.
A total of 344 TDCs were inserted in 274 patients. The most common indication was haemodialysis initiation (60.2%) followed by existing catheter dysfunction (CD) (12.2%), failed vascular access (10.2%) and catheter-related bacteraemia (CRB) (9.9%). Insertion was successful in 97% patients. The most common location was the right internal jugular vein (87%). The cumulative survival for all TDCs inserted, as defined by the time to non-elective removal of a TDC, at 3, 6 and 9 months was 83%, 61%, and 44%, respectively. Median catheter survival was 231 days. Common indications for removal were CD (13.4%) and CRB or suspected infection (12.5%). Common complications were bleeding (8.72%), infection (13.7%) and CD (16.5%). Median time to infection was 103 days. In multivariate analysis, male gender was associated with poor catheter survival, for primary insertions (p = 0.015, HR 0.62) and diabetes was associated with TDC infection (p = 0.024, OR 1.1).
This is one of the first reports of TDC insertion by nephrologists from SEA. Our outcomes compare favourably with those reported in the literature.
J Vasc Access 2017; 18(4): 279 - 283
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsMilind Nikam, Claude J. Renaud, Joshua Shaowen Lee, Sri Fairuz B. Saifful, Allen Yan Lun Liu, Eng Kuang Lim, Ying Ying Seow, Lee Ying Yeoh
- • Accepted on 11/04/2017
- • Available online on 23/06/2017
- • Published in print on 14/07/2017
This article is available as full text PDF.
- Nikam, Milind [PubMed] [Google Scholar] , * Corresponding Author (Milind.email@example.com)
- Renaud, Claude J. [PubMed] [Google Scholar]
- Lee, Joshua Shaowen [PubMed] [Google Scholar]
- Saifful, Sri Fairuz B. [PubMed] [Google Scholar]
- Liu, Allen Yan Lun [PubMed] [Google Scholar]
- Lim, Eng Kuang [PubMed] [Google Scholar]
- Seow, Ying Ying [PubMed] [Google Scholar]
- Yeoh, Lee Ying [PubMed] [Google Scholar]
Division of Nephrology, Khoo Teck Puat Hospital, Singapore - Singapore