Volume 13, Issue 2 (Spring 2024)
aumj 2024, 13(2): 71-76 |
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Hakemi M S, Tavakoli F, Abdollahpour E, Masoudi Y, Nassiri A A. Evaluation of prevalence and risk factors for superior vena cava stenosis in patients on hemodialysis through a tunneled cuffed catheter. aumj 2024; 13 (2) :71-76
URL: http://aums.abzums.ac.ir/article-1-1731-en.html
URL: http://aums.abzums.ac.ir/article-1-1731-en.html
Monir Sadat Hakemi * 
1, Farnaz Tavakoli1 , Esmat Abdollahpour1 , Yasin Masoudi1 , Amir Ahmad Nassiri2
1, Farnaz Tavakoli1 , Esmat Abdollahpour1 , Yasin Masoudi1 , Amir Ahmad Nassiri2
1- Nephrology Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
2- Internal Medicine , Nephrology Department, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences Tehran, Iran
2- Internal Medicine , Nephrology Department, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences Tehran, Iran
Abstract: (559 Views)
Background:Superior vena cava (SVC) stenosis is a major cause of vascular access problem and is associated with morbidity and mortality in hemodialysis patients. This study was done to determine the prevalence and risk factors for SVC stenosis in patients on HD by tunneled cuffed catheter (TCC) in Shariati hospital.
Methods:All patients on chronic HD with TCC were enrolled in the study. SVC stenosis was defined as diameter reduction more than 50% by CT Angiography. Demographic characteristics including age, gender, BMI, history of diabetes mellitus (DM) were evaluated. Moreover, location of TCC insertion (subclavian, Jugular), duration of catheter carriage, and history of previous catheterization were recorded.
Results:This study was done on 40 patients. SVC stenosis was diagnosed in 3 out of 40 (7.5%) patients. Only one patient was symptomatic and presented with face and neck edema. All 3 patients were female. However, there was no significant correlation between gender of the patients and SVC stenosis. Two of patients with SVC stenosis had history of DM, but we did not find significant relationship between DM and SVC stenosis. SVC stenosis was significantly more common in patients with subclavian catheter in comparison to jugular catheter (P=0.02). There was significant correlation between duration of catheter carriage and SVC stenosis (P=0.02).
Conclusion:SVC stenosis was not common and it could be asymptomatic. However, we should consider it in patients on HD by TCC. The duration of TCC carriage should be restricted and subclavian catheterization must be avoided.
Methods:All patients on chronic HD with TCC were enrolled in the study. SVC stenosis was defined as diameter reduction more than 50% by CT Angiography. Demographic characteristics including age, gender, BMI, history of diabetes mellitus (DM) were evaluated. Moreover, location of TCC insertion (subclavian, Jugular), duration of catheter carriage, and history of previous catheterization were recorded.
Results:This study was done on 40 patients. SVC stenosis was diagnosed in 3 out of 40 (7.5%) patients. Only one patient was symptomatic and presented with face and neck edema. All 3 patients were female. However, there was no significant correlation between gender of the patients and SVC stenosis. Two of patients with SVC stenosis had history of DM, but we did not find significant relationship between DM and SVC stenosis. SVC stenosis was significantly more common in patients with subclavian catheter in comparison to jugular catheter (P=0.02). There was significant correlation between duration of catheter carriage and SVC stenosis (P=0.02).
Conclusion:SVC stenosis was not common and it could be asymptomatic. However, we should consider it in patients on HD by TCC. The duration of TCC carriage should be restricted and subclavian catheterization must be avoided.
Type of Study: Research |
Subject:
Special
Received: 2023/10/29 | Accepted: 2024/05/18 | Published: 2024/06/01
Received: 2023/10/29 | Accepted: 2024/05/18 | Published: 2024/06/01
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