REVIEW   

Italian Journal of Vascular and Endovascular Surgery 2023 March;30(1):15-9

DOI: 10.23736/S1824-4777.22.01568-6

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English

Patency durability of non-tunneled hemodialysis’ catheter in adult patients with chronic kidney disease stadium 5 with diabetes mellitus and non-diabetes mellitus

I Gusti PUTRA ¹, Heroe SOEBROTO ² ✉, Yan E. SEMBIRING ², Artaria TJEMPAKASARI ³

¹ Department of Thoracic, Cardiac and Vascular Surgery, Dr. Soetomo Academic General Hospital, Airlangga University, Surabaya, Indonesia; ² Department of Thoracic, Cardiac and Vascular Surgery, Faculty of Medicine, Dr. Soetomo General Academic Hospital, Airlangga University, Surabaya, Indonesia; ³ Department of Internal Medicine, Faculty of Medicine, Dr. Soetomo Academic General Hospital, Airlangga University, Surabaya, Indonesia

INTRODUCTION: Chronic kidney disease (CKD) is a condition of kidney that causes the need for kidney replacement therapy in the form of hemodialysis or kidney transplantation. One of the prerequisites and things that are very essential in the care of patients with hemodialysis is the existence of adequate hemodialysis vascular access. Temporary and short-term use usually use a non-tunneled hemodialysis catheter (NTHC) often be used in emergency cases. In patient with diabetic, complication often occurs as the occurrence of thrombosis in patients with the use of vascular access in DM is twice as high as those without comorbid DM.
EVIDENCE ACQUISITION: Literatures reviewed in our study were gathered from PubMed and Google Scholar. Advanced search was conducted on both Google Scholar and PubMed Builder, with the keywords used were (“Patency” AND “catheter” AND “durability” AND “hemodialysis;” “non-tunneled hemodialysis catheter” AND “chronic kidney disease” AND “diabetic”) also words “patency of tunneled catheters in hemodialysis patients;” “patency of tunneled catheters in diabetic chronic kidney disease underwent hemodialysis”. We reviewed the articles cited within the literatures to broaden the search results.
EVIDENCE SYNTHESIS: Non-tunneled hemodialysis catheters (NTHCs) are typically used when vascular access is required for urgent renal replacement therapy (RRT). Metabolic conditions in DM patients damage blood vessels and can induce abnormalities such as thrombosis and can be prevented by administering antithrombotic prophylaxis Maintenance of patency in diabetic patients related to the durability of NTHC by administration of thrombolytic agents or anticoagulant.
CONCLUSIONS: A non-tunneled hemodialysis catheter may be used as a temporary catheter while waiting for a placement of an arteriovenous fistula. However, NTDCs have several disadvantages. Diabetes Melitus significantly increase the risk of recurrent catheter-related thrombosis and infection site of catheter, which lead to more thrombosis and infection cases of NTHC in diabetic patients than non-diabetic.

KEY WORDS: Patency; Durability; Hemodialysis; Catheter; Non-tunneled hemodialysis catheter; Diabetes