Author/Editor		Bevc, Sebastjan; Frajzman, Mojca; Trifunović, Milivojka
Title		Centralni venski katetri - izkušnje Oddelka za dializo Splošne bolnišnice Maribor
Translated title		Central venous catheters - experience of Department of dialysis of General hospital Maribor
Type		članek
Source		In: Pečovnik-Balon B, editor. Zbornik predavanj Strokovni simpozij z mednarodno udeležbo ob 30. obletnici Oddelka za dializo Splošne bolnišnice Maribor; 2004 feb 6-7; Maribor. Maribor: Splošna bolnišnica Maribor,
Publication year		2004
Volume		str. 61-8
Language		slo
Abstract		Background. Vascular access remains a major obstacle in the delivery of hemodialysis. The arteriovenous (AV) fistula is still the gold standard for vascular access for hemodialysis patients. Central venous catheters (CVC) are mostly temporary vascular access for hemodialysis. Patients and methods. Authors analysed the data on venous catheterization (n = 187) before maturation of first or new AV fistula in Department of dialysis at Maribor General Hospital from April 1996 to October 2003. Results. Analysis in observed period shows us only one systemic infection as the result of insertion of CVC. The catheters were left in place from 1 to 132 days with an average of 34 +- 24 days per catheter. Less than one third of the catheters (28.8%) were removed because of early minor complications: CVC occlusion (n = 11; 5.9%), inadequate blood flow in CVC (n = 15; 8%), unsuccessful aspiration of CVC (n = 2; 1.1%), shattered suture of CVC and malposition of CVC (n = 7; 3.7%), fever of the patient, signs of infection in the place of CVC insertion (n = 18; 9.6%), bleeding in the place of CVC insertion (n = 1; 0.5%). The most frequent pathogen bacteria, isolated on the top of the catheter, was Staphyococcus coagulase negative. Conclusions. Central venous catheters are the only procedure for attaining immediate dialysis access for treatment of hemodialysis patients and acute renal failure. Our experiences revealed that the central vein catheterization is relatively safe and efficient for temporary vascular access for hemodialysis with many but rare major complications.
Descriptors		KIDNEY FAILURE, CHRONIC HEMODIALYSIS CATHETERIZATION, CENTRAL VENOUS CATHETERS, INDWELLING