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Split catheters in children on chronic hemodialysis: A single‐center experience
Author(s) -
Paglialonga Fabio,
Rossetti Giordano,
Giannini Alberto,
Chidini Giovanna,
Napolitano Luisa,
Testa Sara,
Meregalli Elisa,
Biasuzzi Antonietta,
Edefonti Alberto
Publication year - 2012
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/j.1542-4758.2012.00677.x
Subject(s) - medicine , hemodialysis , catheter , surgery , hemothorax , single center , dialysis , incidence (geometry) , central venous catheter , vascular access , anesthesia , pneumothorax , physics , optics
Tunneled central venous catheters ( CVCs ) play an increasing role as vascular access for chronic hemodialysis ( HD ) in children, but limited data exist about the optimal CVC choice. We analyzed the outcome, efficacy, and complications of tunneled CVCs , placed in our unit in the last 3 years. Nineteen 10 F S plit‐ C ath CVCs (two separate catheters fused along their length) were placed in 10 children, median age 9.19 years (range 2.15–13.31) and body weight ( BW ) between 10 and 40 kg. CVCs survival at 1, 3, 6, and 12 months was 94%, 77%, 51%, and 34%, respectively. Catheter survival was higher in children with BW > 20 kg than in smaller patients. Median survival was higher than that of 11 Q uinton P ermcath CVCs , placed in five children in the preceding 2 years (280 vs. 45 days, P < 0.05). Median blood flow rate and indices of HD adequacy were higher in children with lower BW (<20 kg vs. 20–30 kg vs. >30 kg) than in those with higher BW . Incidence of exit site and bloodstream infections was 2.32 and 0.66/1000 CVC days, respectively. One case of hemothorax due to subclavian artery puncture occurred during CVC placement. In conclusion, S plit‐ C ath 10 F CVC allows for effective dialysis in children undergoing HD , particularly those between 10 and 30 kg BW . Catheter survival is acceptable, but could be improved in small children.