الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
CKD is one of the major health problems which is of an international concern,
regarding its accompanied increased risks of cardiovascular morbidity, mortality, and/or
impaired quality of life.
Prevalence of ESRD is increasing progressively all over the world. RRT increases the
burden on health systems. Although kidney transplantation gives the impression to be the
ideal form of RRT in patients with ESRD, yet hemodialysis is the most widespread method
of RRT.
Existence of an appropriately operating VA is the cornerstone for initiation and
maintenance of hemodialysis, however, it carries the risk of several complications that have
the potential to impair hemodialysis quality significantly.
CVCs is the last option for hemodialysis vascular access, it is broadly divided into two
main categories, non-tunneled and tunneled catheters. Their advantages include that They
are universally applicable, can be inserted into multiple sites easily, immediate use, no
repeated skin puncture, lower cost.
They also carry many disadvantages; higher morbidity due to thrombosis and
infection, risk of central venous stenosis, could be discomfortable, shorter life-span than
other VA, lower Qb during dialysis sessions.
Our study aimed to assess the incidence of late complications in cuffed hemodialysis
catheter which occur after 48 hours of catheter’s insertion and indications of their removal
in patients presenting to Damanhour interventional nephrology department.
This research is a retrospective study and includes the record of all patients presented
to Damanhour interventional nephrology unit in the period from 1st January 2018 to 31st
December 2018.
The records were reviewed for the following data; personal data: name, age, sex and
level of education as well as residency, previous vascular accesses, primary cause of ESRD
and associated co-morbidities, pre-insertion routine laboratories investigations, intervention
and outcome, incidence of late complication, catheter fate and causes of catheter removal.