Navigating Vascular Access Challenges in End-Stage Renal Disease: A Comprehensive Study of Ultrasonographic Guided Tunneled Hemodialysis Catheters

Abstract

Objective: This study aims to assess the efficacy of Ultrasonographic Guided Tunneled Hemodialysis Catheters
in patients with ESRD. The primary objectives include assessing catheter placement success, blood flow
adequacy, and the prevention of catheter related blood stream infections.
Study Design: A cross-sectional study.
Place and Duration of Study: The study was conducted at the Department of Nephrology, Central Park Medical
College and Hospital Lahore, Pakistan from December 2022 to May 2023.
Methods: In this study, enrolled 40 end stage renal disease patients aged 20 to 60 years. Tunneled Hemodialysis Catheters (THCs) were inserted under ultrasonographic guidance, predominantly in the right internal jugular vein. Demographic and clinical data were recorded, and blood flow was assessed for dialysis adequacy. The study followed STROBE guidelines and obtained ethical clearance.
Results: Of the 40 patients, 50% were male, 85% had hypertension, and 87.5% had diabetes. Ultrasonography
guided Tunneled Hemodialysis Catheters were predominantly placed in the right internal jugular vein (55%)
with overall success rate of 100 percent. Mean blood flow was 317 ml/minute, and patients had a history of
4.29 ± 1.18 previous catheters. No CRBSIs were reported within the study period.
Conclusion: Ultrasonographic guided Tunneled Hemodialysis Catheters demonstrated effective placement,
adequate blood flow, and a notable absence of catheter related blood stream infections. The study contributes
valuable insights into the role of Tunneled Hemodialysis Catheters in ESRD care, emphasizing their significance
as an interim solution while awaiting arteriovenous fistula maturation.

How to cite this: Sikandar MZ, Javed M, Waheed MA, Khan AA, Amjad H, Moeen SMH. Navigating Vascular Access Challenges in End-Stage Renal Disease: A Comprehensive Study of Ultrasonographic Guided Tunneled Hemodialysis Catheters. Life and Science. 2024; 5(4): 477-481. doi: http://doi.org/10.37185/LnS.1.1.541