隧道式透析导管：来自单个介入放射学中心的视角。

IF 0.8 4区医学 Q4 NURSING Nephrology Nursing Journal Pub Date : 2023-11-01

Ellen McCormick, Susie Q Lew, Shawn Sarin

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引用次数: 0

摘要

隧道式透析导管（TDC）是血液透析（HD）或血浆置换术的血管通路。本研究调查了介入放射科在 5 年内放置和移除 TDC 的频率和适应症。导管置入指征（n = 289）包括肾病晚期患者的血液透析（65%）或急性肾损伤（AKI，24%），以及血浆置换（11%）。移除导管的指征包括感染（20%）、功能障碍（33%）、不再需要（40%）和患者问题（7%）。当没有正常的动静脉通路时，TDC 可为 HD 提供通路。在 AKI 患者中使用 TDC 可减少导管并发症（如机械功能障碍和感染），并提供更好的透析输送。尽管需要耗费大量时间和资源，但为 AKI 患者置入 TDC 可带来医疗和经济效益。

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Tunneled Dialysis Catheters: Perspective from a Single Interventional Radiology Center.

Tunneled dialysis catheters (TDCs) serve as vascular access for hemodialysis (HD) or plasmapheresis. This study examines the frequency and indications for TDC placement and removal by an interventional radiology service over a 5-year period. Indications for catheter placement (n = 289) included HD for patients with end stage kidney disease (65%) or acute kidney injury (AKI, 24%), and plasmapheresis (11%). Indications for catheter removal included infection (20%), dysfunction (33%), no longer needed (40%), and patient issues (7%). TDCs provide access for HD when a functioning arteriovenous access does not exist. Using a TDC in patients with AKI reduces catheter complications, such as mechanical dysfunction and infection, and provides better dialysis delivery. TDC placement in patients with AKI, despite its time and resource intensity, provides medical and financial benefits.

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来源期刊

Nephrology Nursing Journal Medicine-General Medicine

CiteScore

0.70

自引率

22.20%

发文量

期刊介绍： The Nephrology Nursing Journal is a refereed clinical and scientific resource that provides current information on wide variety of subjects to facilitate the practice of professional nephrology nursing. Its purpose is to disseminate information on the latest advances in research, practice, and education to nephrology nurses to positively influence the quality of care they provide. The Nephrology Nursing Journal is designed to meet the educational and information needs of nephrology nurses in a variety of roles at all levels of practice. It also serves as a source for nonnephrology nurses. Its content expands the knowledge base for nephrology nurses, stimulates professional growth, guides research-based practice, presents new technological developments, and provides a forum for review of critical issues promoting the advancement of nephrology nursing practice.