Outcome of tunnelled central venous catheters used for haemodialysis in children weighing less than 15 kg
Author
dc.contributor.author
López, Pedro José
Author
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Troncoso, Bernardita
es_CL
Author
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Grandy, Jean
es_CL
Author
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Reed, Francisco
es_CL
Author
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Ovalle, Alejandra
es_CL
Author
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Celis Lagos, María Soledad
es_CL
Author
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Reyes, Danielle
es_CL
Author
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Letelier Cancino, Nelly María
es_CL
Author
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Zubieta Acuña, Ricardo Eduardo Francisco
es_CL
Admission date
dc.date.accessioned
2014-12-16T15:26:20Z
Available date
dc.date.available
2014-12-16T15:26:20Z
Publication date
dc.date.issued
2014
Cita de ítem
dc.identifier.citation
Journal of Pediatric Surgery 49 (2014) 1300–1303
en_US
Identifier
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dx.doi.org/10.1016/j.jpedsurg.2014.02.043
Identifier
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https://repositorio.uchile.cl/handle/2250/129393
General note
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Artículo de publicación ISI
en_US
Abstract
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Purpose: Central venous catheters (CVC) are frequently used for haemodialysis (HD) in children. However,
there is paucity of information on the outcomes of CVCs when used for HD in very young patients. Our
objective is to report the success, safety and complication rates of CVCs used for HD in children weighing less
than 15 kg.
Materials and methods: This is a single-center retrospective study of all patients with end-stage renal disease
(ESRD) weighing b15kg, who underwent a tunneled CVC placement for HD, between July 2006 and June 2012
at our institution. Analysed data included clinical background, age and weight at initiation of HD, outcome of
HD, CVC vein insertion site, reason for removal, and catheter survival (in days).
Results: Thirty-one CVC were placed in 11 patients weighing b15 kg, 8 males and 3 females. The main causes of
ESRD were renal dysplasia and congenital nephrotic syndrome. At the beginning of HD, mean age was 27.5
(range 5–60) months and mean weight was 10.4 kg (4.5–13 kg). The preferred insertion site was the right
internal jugular vein (90%). Mean duration of HD was 312 days. Mechanical factors were the main reason for
catheter removal (39%). Mean catheter survival was 110 days/catheter.
Conclusions: We believe our study provides relevant information and encouraging data to support the use of
CVC for HD in this cohort of infants; however, further improvement in prevention of catheter thrombosis and
management of infections needs to be achieved.