About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Catheters Can Be Lethal For Dialysis Patients

by VR Sreeraman on February 22, 2013 at 4:42 PM
Font : A-A+

 Catheters Can Be Lethal For Dialysis Patients

Use of catheters to access the blood may put dialysis patients at increased risk of death, infections, and cardiovascular events compared to those who use other types of vascular access, according to an analysis. The authors note that more research is needed to determine individual patients' risks, however.

Use of catheters to access the blood may increase the risk of death, infections, and cardiovascular events in dialysis patients than those who use other types of vascular access, according to an analysis. The authors note that more research is needed to determine individual patients' risks, however.

Advertisement

For kidney disease patients who must undergo dialysis, experts recommend an arteriovenous fistula, which is created by connecting patient's own vein and artery to form a long-lasting site through which blood can be removed and returned. Alternatively, a patient may use an arteriovenous graft, which is a plastic conduit between an artery and a vein. Many patients use a catheter instead for several reasons, including inadequate preparation for dialysis, avoidance of surgery or fear of needles, as attachment to the dialysis machine via a catheter does not require needles. Also, an arteriovenous fistula or graft is not possible in all patients, especially those who are sicker.

To compare different types of vascular access for dialysis, Pietro Ravani, MD, PhD (University of Calgary, Canada) and his colleagues reviewed the medical literature, evaluating the associations between arteriovenous fistula, arteriovenous graft, and central venous catheter with risk for death, infection, and major heart-related events such as heart attacks and strokes. The researchers identified 67 studies comprising 586,337 participants.
Advertisement

Among the major findings:

- Compared with individuals with fistulas, those using catheters had a 38% higher risk of experiencing a major heart-related event, a 53% higher risk of dying, and more than double the risk of developing fatal infections.

- Compared with individuals with fistulas, those with grafts had an 18% increased risk of dying and a 36% increased risk of developing fatal infections, but they did not have an increased risk of experiencing a major heart-related event.

- All analyses compared patients based on the access they achieved, irrespective of the access planned or attempted. (For example, the group of people using catheters also included patients in whom a fistula was unsuccessful.)

The findings suggest that if patients using different types of bloodstream access were of similar health, then use of catheters for hemodialysis has the highest risks for death, infections, and cardiovascular events compared with other vascular access types, and fistulas have the lowest risk. Unfortunately, patients in these studies were not of similar health: those using catheters were likely sicker and those with fistulas were likely healthier.

"Our findings are reflected in current clinical practice guidelines, which promote fistulas as the preferred form of bloodstream access in hemodialysis patients, said Dr. Ravani. He added that the studies they identified were of low quality, though. "Better-quality data are needed, but not from studies with the same design as those already available. In fact, our cumulative meta-analysis shows that this information was already available 10 years ago," he explained.

Source: Newswise
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
Black Pepper as Preventive Measure Against Omicron
FODMAP Diet: A Beginner's Guide
Smallpox
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Acute Renal Failure Dialysis Kidney Failure due to Melamine Toxicity Balloon Atrial Septostomy 

Recommended Reading
Dialysis
Dialysis is an artificial process for removing excess water and waste from the blood. Hemodialysis ....
Haemodialysis and Peritoneal Dialysis Offer Similar Outcomes in Kidney Failure Patients
The results of a recent study suggest that Haemodialysis (HD) and peritoneal dialysis (PD) may ......
People on Hemodialysis With Pancreatic Diabetes Die Earlier Than Those With Type 2 Diabetes: Austrian Study
People on hemodialysis with pancreatic diabetes may die earlier than those on hemodialysis with ......
World Kidney Day 2012 - "Donate - Kidneys for Life – Receive"
The World Kidney Day is observed every year in March to increase awareness of kidney diseases....
Acute Renal Failure
Acute renal failure is the sudden cessation of the functioning of kidneys, that can be due to reduce...
Kidney Failure due to Melamine Toxicity
Adulteration of food with melamine results in the formation of kidney stones and kidney failure, eve...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2022

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use