Establishing Long-Term Haemodialysis Vascular Access with Permcath in Children with Chronic Kidney Disease: A Single-Centre Retrospective Analysis

IF 0.4 4区医学 Q4 PEDIATRICS

Iranian Journal of Pediatrics Pub Date : 2024-02-04 DOI:10.5812/ijp-137383

Shuting Peng, Fang Yang

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引用次数: 0

Abstract

Background: In some regions, the types and sizes of tunneled central venous catheters (CVCs) are limited. Objective: The objective of this study was to review our experience with 10F Quinton Permcath catheters used for long-term vascular access in children of various ages and weights with chronic renal failure. Methods: Children with renal failure on maintenance hemodialysis who underwent placement of the 10F Quinton Permcath between June 2017 and June 2023 at the First Affiliated Hospital of Jinan University were included. We collected clinical data from children with the Permcath, including patients' gender, age, weight, and height. Additionally, data on catheter-related complications were gathered. Imaging data of the patients were obtained to compare the catheter route on imaging and the position of the catheter tip in each case. This enabled an analysis of the characteristics of vascular access establishment and its correlation with catheter-related complications in 11 children implanted with 10F Quinton Permcath. Results: Among the 11 children on maintenance hemodialysis with catheters, five were male, and six were female, with a median age of 9 years (range 8 - 10). The median body weight of the included patients was 23.00 kg (range: 19.95 - 24.30 kg). Eight cases involved placement in the right internal jugular vein (IJV), with the catheter tip located at the level of T8 in two cases, T5 in one case, and T7 in the remaining cases, with no early catheter dysfunction. Three patients underwent catheter placement in the left IJV, with the catheter tip located at the level of T5, T4, and the T7/T8 intervertebral space, respectively, and two cases of early catheter dysfunction occurred in two patients. There were no acute complications in the 11 cases following catheter insertion. Conclusions: Whenever feasible, the right IJV should be the preferred choice for establishing vascular access for the 10F Quinton Permcath in children with chronic kidney disease, regardless of age and weight. The tunnel route and catheter length within the tunnel can be adjusted to ensure the appropriate placement of double-lumen tunnelled cuffed catheters (TCC).

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使用 Permcath 为慢性肾病患儿建立长期血液透析血管通路：单中心回顾性分析

背景：在一些地区，隧道式中心静脉导管（CVC）的类型和尺寸受到限制。研究目的本研究旨在回顾我们使用 10F Quinton Permcath 导管为不同年龄和体重的慢性肾衰竭患儿提供长期血管通路的经验。方法：纳入2017年6月至2023年6月期间在暨南大学附属第一医院接受10F Quinton Permcath置管的维持性血液透析肾衰竭患儿。我们收集了使用Permcath的患儿的临床数据，包括患者的性别、年龄、体重和身高。此外，我们还收集了导管相关并发症的数据。我们还获得了患者的影像学数据，以比较影像学上的导管路径和每个病例中导管尖端的位置。这样就能对 11 名植入 10F Quinton Permcath 的儿童的血管通路建立特点及其与导管相关并发症的相关性进行分析。结果：在 11 名使用导管进行维持性血液透析的儿童中，5 名为男性，6 名为女性，中位年龄为 9 岁（8 - 10 岁不等）。患者体重中位数为 23.00 千克（范围：19.95 - 24.30 千克）。八例患者的导管置入位置位于右颈内静脉（IJV），其中两例患者的导管顶端位于T8水平，一例患者的导管顶端位于T5水平，其余患者的导管顶端位于T7水平，导管未出现早期功能障碍。3 名患者在左 IJV 置入导管，导管尖端分别位于 T5、T4 和 T7/T8 椎间隙水平，2 名患者出现早期导管功能障碍。11 例患者在插入导管后未出现急性并发症。结论：在可行的情况下，无论年龄和体重如何，都应首选右侧 IJV 为慢性肾病患儿建立 10F Quinton Permcath 的血管通路。隧道路径和隧道内的导管长度可以调整，以确保双腔隧道袖带导管（TCC）的适当置入。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Journal of Pediatrics 医学-小儿科

CiteScore

0.90

自引率

20.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Iranian Journal of Pediatrics (Iran J Pediatr) is a peer-reviewed medical publication. The purpose of Iran J Pediatr is to increase knowledge, stimulate research in all fields of Pediatrics, and promote better management of pediatric patients. To achieve the goals, the journal publishes basic, biomedical, and clinical investigations on prevalent diseases relevant to pediatrics. The acceptance criteria for all papers are the quality and originality of the research and their significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by minimum three anonymous reviewers. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as the material cannot be returned. Final acceptance or rejection rests with the Editors.