Tarik Tastekin, Burak Atessacan
Turkish Journal of Vascular Surgery - 2025;34(3):192-196
Aim: Temporary hemodialysis catheters (THCs) are frequently used for urgent vascular access but carry high risks of complications, especially infections and mechanical issues. Complications depend on insertion site, catheter duration, and patient factors. This study investigates the relationship between catheter insertion site, patient age, catheter duration, and the development of catheter-related complications, and also assesses the preferred vascular access type after THC removal. Material and Methods: This retrospective analysis included 122 patients undergoing THC placement from August 2022 to August 2024. Demographic data, catheter insertion sites, duration of use, and catheter-related complications (infection, bleeding, malfunction) were evaluated. Statistical analysis utilized SPSS 26.0, with significance set at p<0.05. Results: The mean age of the patients was 65.2+/-13.4 years; 57.4% were male. Femoral catheter insertion was associated with the highest infection rate (44.8%), significantly higher than jugular (18.5%) and subclavian (18.2%) access sites (p=0.0005). Older age was significantly associated with an increased risk of infection (p=0.018). After THC removal, 62.3% of patients continued with permanent catheters and 39.3% with arteriovenous fistula (A VF). Two patients received both modalities during the follow-up period and are included in both categories. Conclusion: Femoral vein catheterization should be minimized due to high infection risk, with jugular access preferred as the safest. Shorter catheter duration and early A VF planning are recommended, particularly for elderly patients.
