introduction: today, temporary or permanent venous catheters are being increasingly used in patients with renal failure. it seems a necessity to be familiar with their clinical applications and complications as well as their efficacy. the aim of this study was to compare the efficacy of two catheters of 16 cm and 20 cm lengths. methods: this research project was a descriptive, analytic study co...

H emodialysis vascular access is the lifeline for more than 400,000 patients on hemodialysis in the United States. Unfortunately, due to the high incidence of dialysis vascular access dysfunction, it is also the “Achilles’ heel” of hemodialysis.1-3 There are currently three main forms of permanent dialysis vascular access, all of which have their benefits and disadvantages.4 Arteriovenous fistu...

Risk Factors Associated with Dysfunction of Permanent Tunneled Cuffed Hemodialysis Catheters; Single Center Experience Introduction: tunneled cuffed catheters are frequently preferred for hemodialysis in patients chronic renal failure (CRF), but the factors associated dysfunction these not well known. Our goal is to investigate risk factors. Materials and Methods: All cases a diagnosis CRF perm...

background the complications of vascular access are the most imperative etiology for hospitalization, morbidity and mortality in chronic hemodialysis. the most prevalent complication of central catheter is dysfunction due to thrombosis. aspirin is an anti-aggregative platelet drug that may increase the patency of permanent catheters (perm-cath). objectives the aim of this study was to evaluate ...

End Stage Renal Disease (ESRD) patients are liable for infections due to both their low immunity in comparison to general population and specific causes (i.e. recurrent central venous access needed for dialysis). So, it is logic to think about infection if a hemodialysis patient is presenting with fever. Here, we present five cases presented with fever and in spite of that, all their septic scr...

INTRODUCTION Chronic kidney disease (CKD) is a gradually reduction in glomerular filtration rate (GFR) caused by destruction of a large number of nephrons. Kidney failure is the final stage of CKD with GFR <15ml/min/1.73m(2) or requiring dialysis. Patients must provide vascular access, which is also the "life line" and "Achilles heel" of hemodialysis treatment. AIM The purpose of this researc...

Tunneled catheters serve as interim access during maturation of a graft or fistula, or as a permanent vascular access in those patients who have exhausted their traditional access sites. However, bacteremia rates are high in patients with chronic catheters and indiscriminate removal of catheters during bacteremia increases morbidity and costs. A method to identify whether a catheter was coloniz...

Fungal peritonitis represents one of the most serious complications in patients on peritoneal dialysis (CAPD). The therapy often consists of peritoneal catheter extraction and patient recruitment to hemodialysis. For some of the patients the peritoneal dialysis is the only way of dialysis, due to inability to perform a permanent vascular access. In this study we present 13 patients with fungal ...

Permanent catheters are used to provide long-lasting access for long-term dialysis therapy in certain patients when creating an arteriovenous fistula between their own vessels is not possible, when there are contraindications for fistula creation or when the expected lifetime of the patient is short. We present the case of a patient with terminal renal insufficiency treated with hemodialysis fo...

Klebsiella pneumoniae bacteremia associated with a Tesio hemodialysis catheter To the Editor: Catheter-associated bacteremia is a serious complication of temporary hemodialysis vascular access. Bacteremia is the second leading cause of death in hemodialysis patients. Infectious episodes are also the leading cause for untimely catheter removal and for morbidity in dialysis patients. In a study o...