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Comparison of side hole versus non side hole high flow hemodialysis catheters

Michael G Tal1, Aldo J Peixoto, Susan T Crowley

  • 1Interventional Radiology, Yale New Haven Hospital and VA Connecticut Healthcare System, New Haven, Connecticut 06525, USA. Michael.tal@yale.edu

Hemodialysis International. International Symposium on Home Hemodialysis
|January 31, 2006
PubMed

Insights

Non side hole hemodialysis catheters significantly reduce infection rates compared to those with side holes. This study found fewer infections and slightly better survival for non side hole catheters, with similar flow rates.

Area of Science:

  • Nephrology
  • Vascular Access
  • Infectious Disease

Background:

  • Dialysis catheters with side holes are common but may negatively impact performance.
  • Limited comparative data exists on the efficacy of side hole versus non side hole hemodialysis catheters.

Purpose of the Study:

  • To compare the performance of hemodialysis catheters with and without side holes.
  • Key metrics included flow rates, infection rates, and catheter survival.

Main Methods:

  • A retrospective analysis of 54 patients undergoing hemodialysis over 16 months.
  • Patients received either a 14.5 F MAHURKAR MAXID cuffed dual lumen tunneled catheter with side holes or without side holes.
  • Data collected included catheter flow, patency, survival, and infections for up to 28 weeks.

Main Results:

  • Catheter infection rates were significantly lower in the non side hole group (0.254 per 1,000 days) compared to the side hole group (2.545 per 1,000 days) (p<0.001).
  • Non side hole catheters showed slightly improved catheter survival (p<0.05).
  • Mean blood flow rates were not significantly different between the two catheter types.

Conclusions:

  • Hemodialysis catheters without side holes demonstrate a reduced risk of infection.
  • Non side hole dual lumen tunneled cuffed catheters are a viable option for improving patient outcomes in hemodialysis.
  • Further research may explore long-term outcomes and specific patient populations.

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