Tunnelled Femoral Vein Catheter for Long Term Haemodialysis in Exhausted Accesses; does High Tip Placement Differ than Low Tip Placement?

El Mahdi, Ahmed M; Elkerdawi, Sherif Omar; Aborahma, Amr M; Gawish, Rasha I. A.; Korany, Ahmed O

doi:10.21608/asjs.2023.285716

Tunnelled Femoral Vein Catheter for Long Term Haemodialysis in Exhausted Accesses; does High Tip Placement Differ than Low Tip Placement?

Document Type : Original Article

Authors

¹ Vascular Surgery Unit, Faculty of Medicine, Helwan University, Egypt

² Vascular Surgery Unit, Faculty of Medicine, Tanta University, Egypt

³ Nephrology Unit, Internal Medicine Department, Faculty of Medicine, Alexandria University, Egypt

⁴ Vascular Surgery Unit, Faculty of Medicine, Alexandria University, Egypyt

10.21608/asjs.2023.285716

Abstract

Background: Tunneled dialysis catheters (TDCs) are inserted for hemodialysis (HD in patients with chronic kidney
diseases (CKD), with failed arterio-venous fistula (AV). Tunneled femoral vein catheters are commonly used with
exhausted internal jugular or subclavian veins catheters.
Aim of study: To evaluate flow rate and complications associated with femoral vein catheters for long term HD
and to compare the effectiveness of hemodialysis (HD) in cases of high tip versus low tip placement of the catheter.
Patients and methods: 40 cases with the only vascular access is the femoral veins. The flow rate, complications
and difference between high and low placement of the catheters were investigated.
Results: Among the mean URR of the studied cases was 63.58 (±7.62 SD) with range (52-74.8), the mean Kt/V
was 1.03 (±0.22 SD) with range (0.73-1.38) and the mean Kt/V was 238.5 (±33.51 SD) with range (182-297).
Conclusion: The complication rate of femoral venous catheters appears to be acceptable. Flow rate is better in
high tip placed catheters.

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