Stenosis of Arteriovenous Dialysis Fistula
Conditions
Keywords
central vein stenosis, temporary hemodialysis catheters, long term hemodialysis catheter
Brief summary
Vascular access (VA) is the most important for carrying out hemodialysis, yet it may bring in complications and leads to hemodialysis quality decline. This study aimed to explore the impact of vascular access types, including temporary vs.long term hemodialysis catheter on central vein stenosis.
Detailed description
It is unknown whether central vein stenosis occurs after temporary or long term hemodialysis catheter in long-term hemodialysis patients. this study will aim to explore this question. Study design is randomized, controlled trial. One arm is temporary catheters in the internal jugular vein, and another arm is tunneled cuffed hemodialysis cather. 2\*2 is randomly distributed. The main outcome: central vein stenosis diagnosed by venography. The secondary outcome: the time of infection, and catheter patency. Study period: one year
Interventions
Vascular access using temporary vs.long-term hemodialysis catheters
long-term hemodialysis catheters
Sponsors
Study design
Intervention model description
randomized controlled trial
Eligibility
Inclusion criteria
* need to receive long-term hemodialysis no arteriovenous shunts or immature arteriovenous shunts
Exclusion criteria
* Uremia with heart failure or lung function failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| central vein stenosis | 8 weeks after temporary or long-term hemodialysis catheter | use of venography as the primary imaging modality for vein mapping |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| time of infection | 8 weeks | infected in temporary or long-term hemodialysis catheters |
| catheter unobstructed degree | 8 weeks | blood flow in hemodialysis |