Permanent hemodialysis catheters inserted with traditional (blind) technique: 10 years experience

Aims: In this study, complications and patency rates of permanent hemodialysis catheters, all inserted with traditional (blind) techniques in our clinic, were evaluated. Methods: Between June 2012 and June 2022, with the traditional (blind) technique, 627 patients were inserted with permanent hemodialysis catheters. These 627 patients were included in this study. Demographic characteristics of the patients, catheter insertion location and techniques, reasons for removal, duration of use, and catheter-related complications were recorded. Results: Between June 2012 and June 2022, 720 permanent hemodialysis catheters were inserted into 627 patients in our clinic. 350 patients male, and 277 patients were female. The mean age was 45.35 ± 15.9 (16-82 years). 610 catheters were inserted into the right jugular vein (84.7%), 90 catheters were inserted (12.5%) into the right femoral vein, 11 catheters (1.52%) were inserted into the left femoral vein, and 9 catheters (1.25%) were inserted into the left jugular vein. The need for re-catheter insertion developed in 93 patients. The reasons for re-catheter insertion were infection in 20 patients, intracatheter thrombosis in 63 patients, catheter malposition in 5 patients, and other causes in 5 patients. Conclusion: The permanent hemodialysis catheter placement method depends on the clinician's experience. Complication rates for permanent hemodialysis catheters inserted with the traditional (blind) technique are similar to other methods.